Silhouette Extended Warranty Form

Personal Information

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Purchase Information

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Purchase from Optician

Silhouette.com (webshop)

Date of purchase *

Article Number *

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Type of glazing

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By uploading the invoice, I agree that Silhouette may process it for the purpose of handling warranty claims. I agree that any information on my dioptric values on the invoice will also be stored. No further automated processing of this data will take place. You can find more information here.

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