MyAcuvue Rewards Submission Form

myacuvue rewards submission form
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Nowadays, plenty of people suffer from deteriorating eyesight due to the constant use of laptops and smartphones’ screens, genetics, and other reasons. If you want to avoid a laser eye correction, there are only two ways that help: wearing either glasses or contact lenses.

Eye doctors’ patients often prefer contact lenses: if you pick the right brand and product, you will not even feel the lenses in your eyes. Some people still consider lenses an expensive commodity. However, the manufacturer called Acuvue offers popular and affordable lenses that clients consider comfortable.

The Acuvue brand has existed since 1950 and belongs to the famous Johnson & Johnson company. Acuvue constantly grows and attracts new customers. For their convenience and opportunity to save money, the brand has launched MyAcuvue Rewards Program. It allows clients to receive rebates and buy lenses under great conditions.

It is easy to become a program’s participant: all you need is the MyAcuvue Rewards Submission form and the receipt from your eye doctor. Below, we will explain in detail how to complete the submission form and then apply.

Who Can Participate in MyAcuvue Rewards Program?

The program is available for both new and regular customers. Of course, the program’s target audience is people who face problems with eyesight and wear contact lenses. You have to consult your eye doctor and get the special MyAcuvue reward code to submit the form.

How to Fill Out the MyAcuvue Rewards Submission Form

As you already know, those who want to participate in MyAcuvue Rewards Program have to submit an application. Now, we will explain how to complete the submission step by step. We hope our guidelines will help you to create the record without effort.

Get the Submission Template

Our easy-to-use form-building software can generate any template you need. Try it, and you will get the correct MyAcuvue Rewards Submission template in a moment.

Gather the Needed Forms

On top of the first page (left-hand side), you will see a list of forms that you need to become the program’s participant. There are only two documents on the list: this form and the copy of the receipt that contains the following data:

  • Your eye doctor’s (or Eye Care Professional) name
  • Your name
  • The date and price of your purchase
  • The contact lenses’ brand you have chosen and the purchased packs’ quantity.

step 2 gather the needed forms - filling out a myacuvue rewards submission form
Complete the “Contact Information” Section

You have to introduce yourself and leave your contact details. In the designated blank fields, write your full name, email address and telephone number, shipping address (with the state, city, and postal code), and date of birth.

step 3 complete the “contact information” section - filling out a myacuvue rewards submission form
Insert the Purchase Info

Here, you should add the Rewards code (given by your eye doctor), your eye doctor’s first and last name, and the name written on your prescription.

step 4 insert the purchase info - filling out a myacuvue rewards submission form
Define the Acuvue Brand You Use

On the right, there is a chart with the Acuvue brands’ names. Choose the relevant options for your right eye and left eye.

step 5 define the acuvue brand you use - filling out a myacuvue rewards submission form
Choose the Purchased Quality

Below the chart with brands’ names, specify how many boxes and lenses you have bought (for your right and left eye separately) by picking suitable options.

step 6 choose the purchased quality - filling out a myacuvue rewards submission form
Learn about the Rewards

On the second page of this submission form, you may learn about the rewards you can get for participation in MyAcuvue Rewards Program. The brands are listed on the left-hand side, and the number of lenses you might get is on the right-hand side. The maximum rebate you can receive, according to the chart, is 200 US dollars; the minimum is 10 US dollars.

How to Apply to the Program with MyAcuvue Rewards Submission Form

In addition to the form completion and sending, you have to create an account on Acuvue’s website and fill out the Rewards section there.

After you have completed the submission form, you should send it to the address written on the first page of the form. Do not forget to add the copy of your receipt that we have mentioned in Step 2.