Thank you for joining the Sasura family

*Please note: the extended warranty applies only to frames with style numbers beginning with A, M and S.

Name

First Name

Last Name

Frame Style

Found inside the frame. This extended warranty is valid only for frame styles beginning with A, M and S.

What unique name would you like to give your frames?

What store were they purchased at?

State/Province/Country (if outside the US/Canada)

May we send you news and promotions?

Sasura does not disclose any private contact information from our valued customers. Promotions and newsletters are sent only a few times a year.

Yes

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