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The Myacuvue Rewards form is an excellent opportunity for individuals who use Acuvue contact lenses to maximize their eye care experience. Designed to reward loyal customers, this form allows users to easily submit claims for points, which can lead to exciting perks and benefits. Completing the Myacuvue Rewards form involves providing some essential information, like your personal details and purchase history. Once submitted, the rewards program acknowledges your ongoing commitment to eye health and offers exclusive deals that can help enhance your vision while keeping your budget in check. The user-friendly design of the form simplifies participation, making it accessible even for those who may not be tech-savvy. Benefits can include discounts on future purchases and access to tailored promotional offers. The program not only encourages responsible eye care but also fosters a community of users who prioritize their sight and overall health.

Form Sample

MyACUVUE® REWARDS MAIL IN SUBMISSION FORM

COMPILE the following documents to complete your submission.

This submission form (completed)

Copy of your receipt showing Eye Care Professional's name, patient name, ACUVUE® Brand purchased, quantity purchased, purchase date and purchase price. Please ensure all information is legible.

MAIL all documents to:

HelloWorld, Inc.

PO Box 5085

Kalamazoo MI 49003-5085

By submitting my information, I agree that Johnson & Johnson Vision Care, Inc., may use it to evaluate my Rewards Submission and to contact me about this program, and that it will be governed by the Johnson & Johnson Vision Care, Inc., Privacy Policy (https://www.acuvue.com/privacy-policy).

I have read the Full Terms and Conditions. Reward requests must be received within 60 days of purchase.

CONTACT INFORMATION

All fields required. Please print clearly.

FIRST NAME

LAST NAME

 

 

 

 

EMAIL ADDRESS

MOBILE PHONE

Physical gift card (if selected) will be shipped to this address.

SHIPPING ADDRESS (NO P.O. BOXES, PLEASE.)

CITY

STATE

ZIP CODE

 

 

 

 

 

 

BIRTH DATE (MM/DD/YYYY)

PURCHASE DETAILS

REWARDS CODE

(From the Promotional Page provided by your Eye Care Professional)

EYE CARE PROFESSIONAL (First and Last Name)

NAME ON PRESCRIPTION

SELECT YOUR ACUVUE® BRAND

Please mark the left (L) eye and right (R) eye brand corresponding to your purchase.

ACUVUE® VITA® ACUVUE OASYS® 2-Week

ACUVUE OASYS® 2-Week for ASTIGMATISM ACUVUE OASYS® 2-Week for PRESBYOPIA ACUVUE OASYS® 1-Day with HYDRALUXE™ Technology ACUVUE OASYS® 1-Day for ASTIGMATISM

1-DAY ACUVUE® MOIST

1-DAY ACUVUE® MOIST for ASTIGMATISM

1-DAY ACUVUE® MOIST Brand MULTIFOCAL

1-DAY ACUVUE® TruEye®

1-DAY ACUVUE® DEFINE®

SELECT THE QUANTITY PURCHASED

See next page for number of boxes required for each reward.

Please mark the left (L) eye and right (R) eye box corresponding to your purchase.

1 Box (12 Lenses per Box)

1 Box (24 Lenses per box)

1 Box (90 Lenses per Box)

2 Boxes (6 Lenses per box)

2 Boxes (12 Lenses per box)

2 Boxes (24 Lenses per box)

2 Boxes (90 Lenses per box)

3 Boxes (30 Lenses per Box)

4 Boxes (6 Lenses per box)

4 Boxes (12 Lenses per box)

4 Boxes (90 Lenses per box)

6 Boxes (30 Lenses per box)

8 Boxes (6 Lenses per box)

8 Boxes (90 Lenses per box)

12 Boxes (30 Lenses per box) 24 Boxes (30 Lenses per box)

Page 1 of 2

Page 2 of 2

Available Rewards

ACUVUE OASYS® Brand

$

 

$

 

$

1Day for ASTIGMATISM

200

 

75

 

10

 

ANNUAL SUPPLY

6 MONTH SUPPLY

3 MONTH SUPPLY

 

24 boxes (30 Lenses per Box)

12 boxes (30 Lenses per Box)

6 boxes (30 Lenses per Box)

 

 

 

 

 

 

ACUVUE OASYS® Brand

$

 

$

 

$

1Day with HydraLuxe™ Technology

200

 

75

 

10

 

ANNUAL SUPPLY

6 MONTH SUPPLY

3 MONTH SUPPLY

 

8 boxes (90 Lenses per Box)

4 boxes (90 Lenses per Box)

2 boxes (90 Lenses per Box)

 

 

 

 

 

 

1DAY ACUVUE® TruEye® Brand

 

 

 

 

 

Contact Lenses

 

 

 

 

 

1DAY ACUVUE® MOIST Brand

$120

$50

 

$10

Contact Lenses

 

1DAY ACUVUE® MOIST Brand

 

MULTIFOCAL

ANNUAL SUPPLY

6 MONTH SUPPLY

3 MONTH SUPPLY

1DAY ACUVUE® MOIST Brand

8 boxes (90 Lenses per Box)

4 boxes (90 Lenses per Box)

2 boxes (90 Lenses per Box)

24 boxes (30 Lenses per Box)

12 boxes (30 Lenses per Box)

6 boxes (30 Lenses per Box)

for ASTIGMATISM

 

 

 

 

 

1DAY ACUVUE® DEFINE® Brand

 

 

 

 

 

Contact Lenses

 

 

 

 

 

 

 

 

 

 

 

ACUVUE OASYS® Brand

$55

 

 

$10

2Week for ASTIGMATISM

 

 

ACUVUE OASYS® Brand

ANNUAL SUPPLY

 

6 MONTH SUPPLY

2Week for PRESBYOPIA

8 boxes (6 Lenses per Box)

 

4 boxes (6 Lenses per Box)

 

 

 

 

ACUVUE OASYS® Brand

$40

 

$10

Contact Lenses 2Week

ANNUAL SUPPLY

 

6 MONTH SUPPLY

 

2 boxes (24 Lenses per Box)

 

1 box (24 Lenses per Box)

 

4 boxes (12 Lenses per Box)

2 boxes (12 Lenses per Box)

 

 

 

 

 

 

ACUVUE® VITA®

$

 

 

$

 

Brand Contact Lenses

40

 

10

 

ANNUAL SUPPLY

 

6 MONTH SUPPLY

 

2 boxes (12 Lenses per Box)

 

2 boxes (6 Lenses per Box)

 

4 boxes (6 Lenses per Box)

 

 

 

 

 

 

 

 

 

For questions or comments, please contact us at 18889986290.

TERMS & CONDITIONS. Purchases of ACUVUE OASYS® Family, 1Day ACUVUE® MOIST Family, 1Day ACUVUE® TruEye®, ACUVUE® VITA® and 1Day ACUVUE® DEFINE® must be made in-oice or in-store between April 1, 2017 and June 30, 2017.* Reward (rebate) requests with valid Reward Code obtained from place of purchase must be received within 60 days of purchase.** Product purchase must be made within 90 days after contact lens it/exam. Requires submission of product purchase receipt showing (a) patient name, (b) doctor irst/last name, (c) ACUVUE brand purchased, (d) number of boxes/lenses purchased, (e) date of purchase. Limit one reward per customer, per oer, per yearly eye exam visit. Limit four (4) reward requests per household per year. This oer is not valid in combination with any other product oer including Money Back Guarantee. Oer valid for U.S. residents only. Oer not valid where prohibited by law. Allow 14 days for delivery for electronic submissions, 68 weeks for alternative mail-in requests. No P.O. boxes, only street or rural addresses are acceptable for mail-in requests. Fraudulent submissions could result in federal prosecution under the U.S. Mail Fraud Statutes (18 U.S. Code Section 1341 and 1342). Not responsible for lost, late or undelivered responses.

ACUVUE® Rewards are only valid on invoice purchases and purchases made at select retail locations. Rewards are not valid for internet purchases and purchases made at large retailers including (but not limited to) Costco® Optical, Sam’s Club® Optical, BJ’s® Optical, Walmart® Optical or Target® Optical, but other oers may be available for ACUVUE® Brand purchases at these retailers.

NOTICE TO CONSUMERS: If you are personally iling a claim for reimbursement from a third-party payer (e.g., insurance company, employer group, etc.) for the purchase of this product, your claim must be based upon your payment less the amount of the rebate amount. If your doctor is iling the claim, you must notify the doctor’s oice of the need to deduct this rebate amount from the purchase price used in calculating the claim.

*Rewards are in the form of an ACUVUE® Brand Visa Prepaid card. Card is issued by the Bancorp Bank, Member FDIC, pursuant to a license from Visa U.S.A. Inc. **Johnson & Johnson Vision Care, Inc., reserves the right to cancel this rewards program and institute fraud prevention measures at any time without notice. Quantity requirements are based on typical purchase of lenses for two eyes.

ACUVUE®, ACUVUE® OASYS®, 1DAY ACUVUE® MOIST®, 1DAY ACUVUE® TruEye®, ACUVUE® VITA®, 1DAY ACUVUE® DEFINE® are trademarks of Johnson & Johnson Vision Care, Inc. ©Johnson & Johnson Vision Care, Inc., 2017.

The third-party trademarks used herein are trademarks of their respective owners.

Document Specifications

Fact Name Description
Program Purpose The Myacuvue Rewards program encourages customers to purchase Johnson & Johnson contact lenses.
Eligibility Participants must be legal residents of the United States and at least 18 years old.
Reward Structure Members earn rewards points for every purchase made through the program.
Expiration Policy Earned rewards may expire after a specific period of inactivity, typically 12 months.
State-Specific Laws Residents of Tennessee must comply with the Tennessee Consumer Protection Act.
Privacy Terms The program collects personal information in accordance with applicable privacy laws.
Redemption Process Participants can redeem rewards online through their Myacuvue account.

Steps to Filling Out Myacuvue Rewards

After you have gathered all necessary information, it's time to complete the Myacuvue Rewards form. Carefully follow the steps outlined below to ensure that you provide the required details accurately. This process should only take a few minutes.

  1. Visit the official Myacuvue website.
  2. Locate the Rewards section, typically found in the main navigation menu.
  3. Click on the “Sign Up” or “Register” button to access the form.
  4. Fill in your personal information, including your full name, email address, and mailing address.
  5. Provide your contact number and any additional details as prompted.
  6. Enter your purchase information, including the type of Acuvue product, the date of purchase, and the retailer.
  7. Review all the information entered for accuracy.
  8. Submit the form by clicking on the “Submit” button.
  9. An email confirmation will typically be sent to you once your submission is processed.

By following these steps, you will have successfully completed the Myacuvue Rewards form. Be sure to check your email for confirmation and any further instructions provided.

More About Myacuvue Rewards

What is the Myacuvue Rewards form?

The Myacuvue Rewards form is a program designed for customers who purchase Myacuvue products. This form allows users to submit receipts and proof of purchase to redeem rewards, which can include discounts, coupons, and other benefits related to Myacuvue contact lenses. Participants must fill out the form completely to successfully claim their rewards.

How do I fill out the Myacuvue Rewards form?

Completing the Myacuvue Rewards form requires several steps. First, gather the necessary information, including your contact details, purchase information, and any required documentation. Next, provide accurate and clear details on the form. Check that your receipt or proof of purchase is attached, as this is essential for processing your request. Lastly, submit the form according to the instructions provided, ensuring you keep a copy of everything for your records.

Where can I find the Myacuvue Rewards form?

The Myacuvue Rewards form is typically available on the official Myacuvue website. Look for a section dedicated to rewards or promotions. The form may also be accessible through specific promotional emails or advertisements. It is recommended to ensure that you are downloading the latest version for your submission.

What are the eligibility requirements for the Myacuvue Rewards program?

To be eligible for the Myacuvue Rewards program, participants generally need to purchase qualifying Myacuvue contact lens products. Eligibility may also depend on the specific promotion. It is important to review the terms and conditions provided with the rewards program to confirm that your purchase qualifies. Specific age or residency requirements may also apply.

How long does it take to receive rewards after submitting the form?

The processing time for rewards can vary. Typically, once the Myacuvue Rewards form and supporting documentation are submitted, you can expect a response within a few weeks. However, processing might take longer during peak seasons or promotional periods. It is advisable to check the program's guidelines for more specific timing information.

What should I do if I encounter issues with my submission?

If you encounter any problems with your Myacuvue Rewards submission, first double-check that all required information is complete and accurate on the form. If the issue persists, contacting Myacuvue customer service may be necessary. They can assist with troubleshooting and provide guidance on how to resolve any specific issues related to your submission.

Common mistakes

  1. Incorrect Information: Some individuals enter incorrect personal details such as names, addresses, or birthdates. This can lead to reward redemption issues.

  2. Missing Required Fields: Failing to complete mandatory sections can delay processing. It’s essential to check each part of the form.

  3. Typos in Email Addresses: A simple typo in an email address may prevent crucial communications from reaching the participant. Always double-check this detail.

  4. Not Submitting Proof of Purchase: Participants sometimes forget to include proof of purchase. This documentation is critical for reward eligibility.

  5. Ignoring Terms and Conditions: Some people skip reading the terms and conditions, leading to misunderstandings about eligibility and deadlines.

  6. Using Multiple Submissions: Submitting multiple entries can confuse the processing system. Stick to one submission to ensure clarity.

  7. Deadline Oversights: Participants often overlook the submission deadlines. Staying informed about these dates is vital for successful participation.

Documents used along the form

The Myacuvue Rewards program is designed to reward customers for their loyalty towards Myacuvue products. To successfully participate in this program, various other forms and documents may be required. Each of these forms plays a critical role in ensuring that customer rewards are processed accurately and efficiently. Below is a list of some documents that are commonly used in conjunction with the Myacuvue Rewards form.

  • Proof of Purchase: This document confirms that a customer has purchased Myacuvue products and may include receipts or invoices. Accurate proof is essential to validate claims for rewards.
  • Customer Registration Form: This form collects personal information from customers, such as name, address, and contact details. It facilitates the establishment of an account for rewards management.
  • Redemption Form: Customers may need to submit this form when claiming their rewards. This document details how they wish to redeem their rewards and ensures clarity in the process.
  • Privacy Policy Acknowledgment: Acknowledging the privacy policy is important. This document informs customers about how their personal information will be used and protects their rights.
  • Terms and Conditions Agreement: Customers usually need to read and accept the terms and conditions of the rewards program. This agreement outlines the program’s rules and eligibility requirements.
  • Contact Information Update Form: If a customer’s personal details change, this form allows them to update their contact information, ensuring they receive all communications related to their rewards.
  • Rewards Feedback Survey: This optional document can be used to gather customer feedback on their reward experience. Insights gathered here help improve future offerings.
  • Product Feedback Form: Customers may also be asked to provide feedback on the Myacuvue products they purchased. This information can be valuable for product development and customer satisfaction efforts.

Each of these forms complements the Myacuvue Rewards form, streamlining the process for both the company and its customers. Navigating through these documents carefully can foster a positive experience for all involved.

Similar forms

The MyACUVUE Rewards form is similar to the rebate form commonly used in retail transactions. Both documents are designed to process consumer requests for cash back after a purchase. By submitting personal information and proof of purchase, consumers can receive their money back, prompting businesses to encourage repeat purchases. The straightforward layout of both forms allows for easy completion and submission, ensuring a smooth rebate experience.

Similar to the warranty registration form, the MyACUVUE Rewards form collects consumer information to validate and secure future purchases. Warranty registration typically involves documenting product information and personal details to activate the warranty coverage. Likewise, the rewards form takes customer information to facilitate rewards claims, making it essential for tracking and benefits redemption.

The customer satisfaction survey form also bears similarities to the MyACUVUE Rewards form. Both documents aim to gather consumer feedback to improve product offerings and services. A survey evaluates customer experiences while the rewards form serves as an incentive for participation. Each document focuses on obtaining valuable data to enhance customer relations and satisfaction.

Another document akin to the MyACUVUE Rewards form is the membership application form. Both forms require users to provide personal information to receive benefits or rewards. A membership application allows companies to build a customer base, while the rewards form incentivizes purchases. Each document serves to strengthen customer engagement and loyalty through information collection.

Finally, the feedback form shares characteristics with the MyACUVUE Rewards form. Both documents collect user information and feedback for the purpose of improvement. Feedback forms allow customers to provide insights on products or services, while the rewards form encourages customers to share their experiences in exchange for incentives. Each document fosters a connection between consumers and brands, helping to drive improvements in products and services.

Dos and Don'ts

When filling out the Myacuvue Rewards form, there are some important steps to follow and mistakes to avoid. Here’s a concise list to guide you.

  • Do: Read all instructions carefully before starting.
  • Do: Double-check that all your personal information is accurate.
  • Do: Keep a copy of the receipt for your purchase.
  • Do: Submit your form promptly to meet deadlines.
  • Do: Use the official Myacuvue website for form submissions.
  • Don't: Rush through the process; take your time.
  • Don't: Leave any required fields blank.
  • Don't: Submit multiple forms for the same purchase.
  • Don't: Ignore the terms and conditions outlined for rewards.

Following these tips can help ensure a smooth experience with your Myacuvue Rewards form submission.

Misconceptions

The Myacuvue Rewards program has generated interest and engagement among many individuals, yet some misconceptions can lead to confusion. Below are six common misunderstandings regarding the Myacuvue Rewards form, along with clarifications to ensure accurate information is shared.

  1. Misconception 1: The Myacuvue Rewards form is only for new users.
  2. This is not accurate. Both new and existing users can participate in the Myacuvue Rewards program as long as they purchase eligible products.

  3. Misconception 2: Submitting the form requires purchasing specific products.
  4. While certain products may be eligible for rewards, a variety of options are available. Always check the current list to ensure you are selecting eligible items.

  5. Misconception 3: Once submitted, the form cannot be edited.
  6. In fact, many platforms allow users to make corrections or changes. It is advisable to check the specific policy regarding form submissions.

  7. Misconception 4: The rewards are only cash-based.
  8. Rewards may come in various forms, including discounts, gift cards, or promotional items. The specifics can change, so check for the latest details.

  9. Misconception 5: The program is not beneficial for regular contact lens users.
  10. This is misleading. Regular users of Myacuvue products can significantly benefit from the rewards program through savings and special offers.

  11. Misconception 6: Participation in the program is complicated.
  12. In reality, the Myacuvue Rewards form is designed to be user-friendly, providing clear instructions to guide participants through the process.

Key takeaways

Participating in the Myacuvue Rewards program offers numerous advantages for users of Acuvue contact lenses. It's essential to understand the key aspects of filling out and utilizing the rewards form effectively. Below are essential takeaways to enhance your experience.

  • Get Started by Registering: You must create an account on the Myacuvue website to access the rewards program and submit your form.
  • Collect Necessary Information: Before filling out the form, gather all required information, such as your purchase details, including the product and retailer.
  • Check Eligibility: Confirm that your purchase meets the eligibility criteria established by the Myacuvue Rewards program.
  • Submit with Care: Complete the form accurately. Double-check all entries to avoid any errors that might delay or invalidate your submission.
  • Save Your Receipts: Keep copies of proof of purchase, as you may need them for verification purposes.
  • Understand the Points System: Familiarize yourself with how points are awarded. Points accumulate with each eligible purchase, contributing to rewards.
  • Track Your Points: After submission, monitor your account regularly to see your points and any available rewards.
  • Stay Informed: Sign up for updates from Myacuvue to receive information on promotional offers and any program changes.

By following these guidelines, you can ensure a smooth experience with the Myacuvue Rewards form. Engaging with the program can lead to significant benefits for your eye care needs.