Kate Spade Consumer Warranty Claim Form
Thank you for choosing Kate Spade eyewear. We warrant our eyewear against any defects in materials and/or workmanship only. If you believe
that there is a defect in materials and/or workmanship, please complete the form below and return your Kate Spade eyewear purchase to us ASAP
by the traceable shipment method of your choice and we will be glad to evaluate it for you. Sàfilo USA as the manufacturer of Kate Spade does not
assume responsibility for any eyewear that we do not receive.

Please be sure to include a check or money order in the amount of $15.00 per frame to cover the non-refundable processing fee
associated with your return. We cannot accept cash payments. Please do not send cash.

For your convenience, you may also authorize us to charge your Visa or Mastercard the $15.00 processing fee per frame by completing
the credit card authorization section below. Please be sure to fill in the amount to be charged and to sign the credit card authorization
section.

Please be sure to include a copy of your original sales receipt and the name of the location where it was purchased.
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Any eyewear sent to us without the $15.00 processing fee per frame will not be evaluated and will be returned to you.
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Please be sure to remove any prescription lenses from frames before returning them to us.
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Our return address is:
Safilo Group
Attn: Consumer Warranty Service Center
801 Jefferson Rd.
Parsippany NJ 07054
Please allow 2-3 weeks for a response. Upon receipt, we will inspect your Kate Spade eyewear to determine if it is defective in some way. If the
problem is covered under our warranty, it will be repaired or replaced at no charge to you. In the event that the problem with your Kate Spade
eyewear is not covered under our warranty, we will contact you to inform you of any options and related costs. Please note that accidental
damage, scratched lenses, and product misuse/abuse are not covered under Sàfilo USA/Kate Spade’s warranty. We do not provide repair service
under these circumstances.
If you have any questions, please contact us at (800) 850-3919 or via e-mail at CONSUMERS@safilousa.com . Our Consumer Warranty Service
Center staff is here to serve you and assist you with the warranty claim process.
-----------------------------------------------------------------------------------------------------------------------------------First Name:_________________________ Last Name: _____________________________________Date: ______________
Frame: _____________________________________
Form of Payment for Processing Fee (circle):
Daytime Phone Number:_________________________
Mastercard
Visa
Check
Money Order
Credit Card Number: _____________________________________________ Expiration Date: __________SSI#_________
Name Of Cardholder: __________________________________________________ Amount of Charge:
$____________
Address: _____________________________________________________________________________________________
City:_____________________________ State:______ Zip:______________ Place of Purchase:____________________
E-mail Address: _______________________________________________________@______________________________
Reason for Return: ____________________________________________________________________________________
By signing below, I authorize Sàfilo USA to charge the above amount to my credit card and agree that I will pay for this purchase and indemnify
and hold Sàfilo USA harmless against any liability pursuant to this authorization. I understand that my signature on this form will serve as my
authorized signature on the credit card charge slip.
Customer Signature: ____________________________________________________________________
Processed By:_______________
OK Declined
Account #_______________
Revised 06/17/2013 DS
FOR SÀFILO USE ONLY
Date :_________________
Invoice#___________________
Organization: Consumer Returns
Authorization #___________________
Amount: _________________