Edit, Download, and Sign the Upgrade Rewards Program for ACUVUE Purchases

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How do I fill this out?

To fill out this form, first ensure you have your purchase receipt handy. Next, follow the steps outlined in the form to provide your details accurately. Lastly, submit the form online or via mail as instructed.

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How to fill out the Upgrade Rewards Program for ACUVUE Purchases?

  1. 1

    Gather your purchase receipt and other required information.

  2. 2

    Complete the online or offline form with accurate details.

  3. 3

    Submit the form within the specified timeframe.

  4. 4

    Check for confirmation of receipt and reward eligibility.

  5. 5

    Retain copies of all documentation for your records.

Who needs the Upgrade Rewards Program for ACUVUE Purchases?

  1. 1

    Contact lens wearers looking to save on their purchases.

  2. 2

    Optometrists seeking to inform patients about rewards.

  3. 3

    Retailers wanting to provide additional value to customers.

  4. 4

    Insurance providers tracking claims for reimbursements.

  5. 5

    Marketing teams promoting the ACUVUE brand for campaigns.

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What are the instructions for submitting this form?

To submit the ACUVUE Rewards form, visit MyAcuvueRewards.com to register, then complete the online form with your purchase details. If you are a new user, upload a clear image of your receipt showing all necessary details. For physical submissions, mail your completed form along with the receipt to Merkle Inc. PO Box 5085, Kalamazoo, MI 49003-5085. Make sure to keep copies of your submitted documents for your records.

What are the important dates for this form in 2024 and 2025?

The ACUVUE Rewards program is valid for purchases made between January 1, 2023, and June 30, 2023. Submissions for rewards must be completed within 60 days of purchase. Ensure to keep track of these dates for eligibility.

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What is the purpose of this form?

The purpose of this form is to provide consumers with a means to claim rewards for purchasing eligible ACUVUE products. It simplifies the process of documenting purchases and submitting claims online. By ensuring the submission of necessary receipts and details, the form facilitates the efficient distribution of rewards back to the users.

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Tell me about this form and its components and fields line-by-line.

The form includes several key fields that must be filled out accurately to ensure proper processing of your reward claim.
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  • 1. Patient Name: The name of the individual making the claim.
  • 2. Seller Name: The name of the retailer where the purchase was made.
  • 3. Product Purchased: Details on the specific ACUVUE product purchased.
  • 4. Number of Boxes: Quantity of contact lens boxes purchased.
  • 5. Purchase Date: The date on which the purchase occurred.
  • 6. Proof of Purchase: A copy or image of the receipt as proof.

What happens if I fail to submit this form?

If you fail to submit this form correctly, you may miss out on your eligibility for rewards. Incomplete submissions can lead to delays in processing or rejection of your reward claim. It's essential to double-check your entries and keep a copy of your submitted material.

  • Incomplete Information: Missing required fields could lead to rejection.
  • Wrong Submission Method: Submitting via incorrect channels can delay your claim.
  • Late Submission: Filing past the deadline means forfeiting the reward.

How do I know when to use this form?

You should use this form when you purchase eligible ACUVUE products and wish to claim rewards. It is essential for customers looking to maximize their savings on contact lenses. Always ensure that you meet the required conditions specified in the program.
fields
  • 1. New Purchases: Use this form for any recent purchases of qualifying ACUVUE lenses.
  • 2. Repeat Purchases: If you are a current user of ACUVUE products, file this form for rewards.
  • 3. Promotional Offers: Claim rewards associated with promotional campaigns.

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