Oakley Sunglasses Submission Form Please fill out the form below to be Emailed your 20% Savings Certificate for In-Store use.Referral Source:Name of Establishment:(Required)Referring Bartender/Wait Staff:(Required)Select Your Team:Team Selection:Personal Information:Name First Last Date of Birth MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Cell Phone Number:Email Address: Δ