sbspecs Order Form
Specialized eyeglass repair and customization.
Date:
*
-
Month
-
Day
Year
Date
Account Name:
*
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Contact Name:
Client reference:
*
Frame information:
*
Brand, model, colour
Rx lenses included:
*
Yes
No
If yes, please note defect:
Brand new/no defect
Average wear and tear
Ready to trash
Custom bridge modification
Please Select
Large acetate build, clear
Large acetate build, limited edition by availability
Small acetate build, clear
Acetate lift, clear
Titanium implanted pad arms
Fused titanium pad arms
Titanium screw mount pad arms (wood and horn frames)
Silicone implant
Heat sink pad arms
Please choose from options below for Limited Edition acetate builds and Titanium Implanted pad arms.
Please describe the fit issue for bridge modifications (select all that apply):
Low bridge
Flat bridge
Narrow bridge
High cheekbones
Asymmetric bridge structure
Need increased vertex distance
Need increased height
Other - please leave details in notes
Limited edition large acetate build options:
Please Select
Sarah, HELP! Email me pairings!
Sarah, choose something bold!
Sarah, choose something subtle!
Match frame - front side
Match frame - back side
Match temple
Screw Mounted nose pad options for Titanium Implanted pad arms:
Please Select
Basic silicone
Japanese acetate nose pads (see below) +$10
Titanium nose pads - unisex gunmetal +$8
Titanium nose pads - unisex silver +$10
Titanium nose pads - unisex gold +$10
Titanium nose pads - round gunmetal +$8
Specialized repair
Please Select
Acetate bridge repair
Acetate crack - fuse and polish
Acrylic repair - fuse and polish
Hidden hinge reset/replace
Riveted hinge reset/replace
Spring hinge replacement
Lindberg temple bushing replacement
Laser welding
Drill out screw
Rethread stripped screw barrel
Crystal replacement
Specialized repair not listed
Please send Rx lens for hand edging with a rim repair. Please leave me a message with special requests!
Refurbishing
Please Select
Full frame polish
Full frame matte
Partial frame matte
Choose your finish
*
Please Select
No polish - included
Basic polish, no oxidation removal or resurfacing - included
Matte touch ups - Included
Full restoration - will send estimate first
Frame modifications
Please Select
Laser engraving
Temple pressure build up
Temple shortening
Temple lengthening
Cable temple conversion
Custom acetate frame tinting - notes for colour
Standard Custom flip-up clip-on
Polarized solid grey
Polarized gradient grey
Polarized solid brown
Polarized gradient brown
Polarized G15
Polarized yellow
Polarized blue
Polarized violet
Polarized with mirror - light blue
Polarized with mirror - dark blue
Polarized with mirror - green
Polarized with mirror - orange
Polarized with mirror - purple
Polarized with mirror - lilac
Polarized with mirror - rose
Polarized with mirror - light pink
Polarized with mirror - black/silver
Polarized with mirror - gold
HEV computer blue light - pink
HEV computer blue light - brown
HEV computer blue light - yellow
Specialty custom flip-up clip-on
Hand dyed therapy lens
Rx lens (reader, prism, etc)
Please note specific details in notes section!
Message to Sarah for your order:
Special request:
Rush ($5 surcharge)
Panic Rush ($15 surcharge)
Other
Reference images (optional):
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