Name *

First Name

Last Name

Phone *

(###)

###

####

Pick-up address *

[Street Address, Postal Code, City]

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration *

Herewith, I declare that I am sending a full Ever-bag containing frames, acetate, metal, and demo glasses. The total weight is approximately 10kg, in accordance with the guidelines.

Herewith, I declare that I am part of the Ever Community and have a start or full circle package.