If payment information is not provided, no replacement request can be processed. Name on Card: Card Type: Card Number: Expiration Date: cvc number: Billing Street: Billing City: Billing Zip



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Warranty Form
Please print and include this form when you send a warranty claim to Mountain Shades. To best ensure that we are able to accurately read your claim, we prefer typed forms when possible. Incomplete forms cannot be processed for warranty replacements.
Contact Information
Full Name:

Phone:

E-mail (Required for Confirmation):
Warranty Information

Sunglasses Name:

Approximate Date Purchased:

Store Purchased:

Sunglasses Requested as Replacement (In the event that the original pair is no longer available):

Describe Warranty Issue (Please note that scratched lenses are not covered under warranty):


Billing Information
Mountain Shades charges a small fee for shipping and handling. There is $5 charge for children’s items, $10 for items with a MSRP of $25 or less; $15 charge for items with a MSRP of over $25. We will charge your card upon receiving this form along with the sunglasses you are claiming warranty on. If payment information is not provided, no replacement request can be processed.

Name on Card:

Card Type:

Card Number:

Expiration Date:

CVC Number:

Billing Street:

Billing City:

Billing Zip:

If the location you want us to send the new pair of Mountain Shades is different than the address listed above, please indicate below. If it is that same, please write “SAME” to verify.


Addressee:

Shipping Street:

Shipping City:

Shipping State:

Shipping Zip:
Submission Information
Please send the sunglasses or goggles you are claiming warranty on along with this form to:
Mountain Shades

Attention: Warranty

11931 West I-70 Frontage Road North

Wheat Ridge, CO 80033


If you are unable to ship your Mountain Shades or we did not receive them, we will not be able to honor your warranty. Please note that Mountain Shades is not responsible for lost or misdirected packages. We strongly encourage you to send your product through a traceable method such as FedEx or UPS.

Questions? Please e-mail warranty@mountainshades.com.

www.mshades.com




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