Eyewear Order Cancellation Form
Use this form to request cancellation of an eyewear order and provide the details needed to locate and process it.
Order Identification
Order ID
*
Order Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Customer Name
*
Email Address
*
example@example.com
Eyewear and Cancellation Details
Eyewear Product Type
*
Prescription Glasses
Sunglasses
Frames Only
Lenses Only
Other
Cancellation Reason
*
Ordered by Mistake
Changed Mind
Found a Different Style
Prescription Change
Delivery Delay
Duplicate Order
Other
Cancellation Details
Desired Action After Cancellation
*
Refund
Exchange
Store Credit
Contact Me to Discuss
Processing Preferences
Preferred refund method
*
Original payment method
Store credit
Contact me for assistance
Follow-up phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Confirmation
*
I confirm this cancellation request and understand the order may be subject to processing status and order-stage limitations.
Submit Cancellation Request
Should be Empty: