Repair Form

Contact Information

Your Name (required):

Your Email (required):

Home Phone:

Work Phone:

Cell Phone (required):

Return Address

Address (required):

City (required):

Province (required):

Area Code (required):

Product Information

Type of Brand (required):

Product Category:

Product Description:

SKU Number:

Number Of Years Owned (required):

Description of Problem (required):

Is this Bolle Rx or Serengeti Rx eyewear?


Unit 6 Rodium Industrial Park,
Fabriek Street
Strijdom Park
Randburg
P.O.Box 1090,
Ferndale, 2160, South Africa
Tel: +27 11 796 8960
Fax: +27 11 792 5258

View Larger Map