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The Myacuvue Rewards form is a crucial component for individuals seeking to maximize their benefits when purchasing Myacuvue contact lenses. Designed for users of Johnson & Johnson's popular contact lens brand, this form facilitates access to various rewards, discounts, and promotional offers. Applicants must provide personal information, including their contact details and specifics of their recent purchases, to verify eligibility for rewards. By submitting the form, users can earn incentive points, which can be redeemed for different types of rewards such as discounts on future purchases. The process is straightforward but requires attention to detail to ensure that all required information is accurately filled in. Additionally, users should be aware of any deadlines associated with the submission of the rewards form to successfully claim their benefits. Understanding the nuances of the Myacuvue Rewards form not only simplifies the process but also enhances the overall purchasing experience for contact lens users.

Myacuvue Rewards Example

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.

File Breakdown

Fact Name Description
Program Overview The Myacuvue Rewards program allows consumers to earn rewards by purchasing eligible products.
Eligibility Participants must be residents of the United States and at least 13 years old to enroll.
Registration Process Users must complete an online registration form to participate in the rewards program.
Rewards Structure Rewards can be earned through product purchases, completing surveys, and engaging in promotional events.
Redemption Options Participants can redeem earned points for discounts, free products, or other promotional offers.
Expiration of Points Accumulated points may expire if there is no account activity for a specified period, typically 12 months.
Governing Law The rewards program is governed by the laws of the state in which the participant resides.
Privacy Policy The program adheres to strict privacy standards, ensuring participants' personal information is protected.

Guide to Using Myacuvue Rewards

Once you have the Myacuvue Rewards form, you can start filling it out. The process involves providing some basic information and following specific steps to ensure your submission is successful. Keep your information handy to streamline this process.

  1. Begin by entering your personal information. This may include your name, address, and email.
  2. Next, list your eye care professional's details, including their name and contact information.
  3. Provide your purchase information. This includes the type of lenses you've bought, the purchase date, and where you bought them.
  4. Complete any additional fields, such as a loyalty program number, if required.
  5. Review all your entries to make sure everything is correct and complete.
  6. Finally, submit your form through the website or print and mail it as instructed.

Get Answers on Myacuvue Rewards

What is the Myacuvue Rewards program?

The Myacuvue Rewards program allows customers who purchase certain Acuvue contact lenses to earn rewards. These rewards can be redeemed for various benefits, such as discounts on future purchases or special offers. By participating, customers can gain added value for their purchases.

How do I enroll in the Myacuvue Rewards program?

Enrolling in the Myacuvue Rewards program is a straightforward process. Customers can sign up online by visiting the Myacuvue website. After providing basic information, such as name, contact details, and purchase information, individuals can create an account to start earning rewards. Make sure to have proof of purchase handy during registration.

What information do I need to provide on the Myacuvue Rewards form?

When filling out the Myacuvue Rewards form, customers typically need to provide:

  • Your name
  • Email address
  • Purchase details, including the type of lenses bought and the date of purchase
  • Proof of purchase, which may include a receipt or order number

Ensure that all information is accurate to avoid processing delays.

How can I track my rewards status?

Tracking rewards status can be done through your Myacuvue account. By logging in, individuals can view their accumulated rewards points, recent transactions, and any available offers. Some customers may also receive email updates about their rewards status.

Is there an expiration date for the rewards?

Yes, rewards earned through the Myacuvue Rewards program may have an expiration date. Generally, customers should use their rewards within a specified time frame, often noted in the terms of the program. Checking the expiration date in your account or in the program details is advisable to maximize their value.

Can I refer friends to the Myacuvue Rewards program?

Yes, many rewards programs encourage referrals. If there is a referral program available, you could earn additional rewards for each friend that joins and makes a purchase after receiving your referral. It is beneficial to check the specific details and terms related to referrals on the Myacuvue website.

What happens if I encounter issues with my rewards?

If issues arise regarding rewards, customers can reach out to customer support for assistance. It is important to have relevant information ready, such as account details and purchase information. Customer service representatives can help troubleshoot problems and resolve any discrepancies.

Are there any fees associated with participating in the Myacuvue Rewards program?

Participating in the Myacuvue Rewards program is generally free. There are no membership fees or charges for signing up. However, always review the program details for any specific costs or conditions associated with redeeming rewards or offers.

What can I redeem my rewards for?

Rewards from the Myacuvue program can often be redeemed for discounts on future purchases, gift cards, or exclusive offers, depending on the current promotions. This varies by program terms, so checking available redemption options in your account is recommended.

Do I need to make purchases frequently to earn rewards?

While frequent purchases can help you accumulate rewards faster, this is not necessarily a requirement. Each purchase of eligible Acuvue products generally contributes to your rewards accumulation. However, maintaining an active account and staying informed about promotional events can increase earning opportunities.

Common mistakes

Filling out the Myacuvue Rewards form can be a great way to earn benefits for your contact lens purchases. However, there are several common mistakes that people often make during this process. Being aware of these can help ensure that you submit a complete and accurate application.

One of the most frequent errors is not providing all required personal information. Make sure to include your full name, address, and contact details. Leaving out even one piece of information can lead to delays or outright rejection of your application.

Another common mistake is failing to double-check the spelling of names and addresses. Typos might seem harmless, but they can prevent you from receiving your rewards promptly. A small error could result in your application being sent to the wrong address.

People also often overlook the importance of providing proof of purchase. Without this, your Myacuvue Rewards submission will not be processed. Always keep a copy of your receipt or confirmation email handy to include with your application.

Neglecting to read the terms and conditions can lead to misunderstandings. These guidelines provide crucial information on eligibility and how to properly claim rewards. Taking the time to review them can save you headaches later on.

Many applicants forget to sign or date the form. Missing signatures might seem trivial, but these details are often mandatory for processing. Ensure your application is fully completed before submission.

Another mistake is submitting the form too late. Myacuvue typically has deadlines for when rewards forms must be received. It’s essential to be aware of these dates to avoid disappointment.

Some individuals may not submit their applications electronically when required. Myacuvue may offer digital submission for convenience, but it's key to follow their preferred method to avoid complications. Always check if electronic submission is an option for your submission.

A common oversight is assuming that all forms are the same. Different promotions may have specific requirements, so always check that you’re using the right version of the form for the current rewards program. This can prevent unnecessary frustration.

Moreover, leaving out additional required documentation can time-delay your request. Sometimes, items such as your eyecare provider information or specific lens details are needed. Collecting these documents ahead of time can make the process smoother.

Finally, not keeping a record of your submission could lead to confusion later. It's a good practice to note down when and how you submitted your form, including any confirmation or tracking information. This record can be invaluable if you face issues with processing your submission.

Being mindful of these common pitfalls can lead to a more successful experience with the Myacuvue Rewards form. Taking your time to carefully complete the application can ultimately result in you enjoying the benefits you deserve.

Documents used along the form

The Myacuvue Rewards form is part of a promotional program designed to offer discounts or incentives for purchasing Myacuvue products. Along with this form, several other documents may be required to ensure a seamless experience. Below are four commonly used forms and documents associated with the Myacuvue Rewards program.

  • Purchase Receipt: This document serves as proof of purchase for the Myacuvue products. It typically includes details such as the date of purchase, the retailer’s name, and a breakdown of the items bought.
  • Claim Submission Form: In some cases, a separate claim submission form is necessary. This form requests additional information that facilitates the reward process, such as customer contact details and the specific product purchased.
  • Terms and Conditions Document: This document outlines the rules and eligibility requirements for the rewards program. It details how to redeem rewards, any expiration dates, and restrictions regarding use.
  • Privacy Policy: This document explains how personal customer information will be collected, used, and protected by the program. It helps customers understand their rights in relation to their data.

Gathering these documents ensures a smooth process for redeeming rewards through the Myacuvue program. Proper organization of these forms can help avoid delays or complications.

Similar forms

  • The Manufacturer's Warranty Registration form is similar in that it serves to register a product and claim any benefits associated with it. This form often requires user information and details about the purchased item to ensure coverage for potential defects or issues.

  • Product Registration Forms are another parallel document. Like the Myacuvue Rewards form, these forms are designed for customers to register their products after purchase. This enables the companies to offer promotions, updates, or warranty services to their customers effectively.

  • The Customer Loyalty Program Registration form aligns with Myacuvue Rewards by enabling customers to sign up for benefits and rewards based on their purchases. This fosters customer engagement and encourages repeat business.

  • Finally, the Rebate Submission Form holds similarities with the Myacuvue Rewards form. Both forms require users to submit proof of purchase in order to receive financial benefits. These documents often involve providing details related to products purchased, purchase dates, and supporting documentation.

Dos and Don'ts

When filling out the Myacuvue Rewards form, it's important to keep certain guidelines in mind to ensure a smooth process. Here are five things you should do and five things you should avoid:

  • Do double-check your personal information. Ensure all details are accurate to prevent delays.
  • Do keep a copy of the form. Have a record for future reference or follow-up.
  • Do read the instructions carefully. Understanding the requirements can save time and frustration.
  • Do submit the form before the deadline. Early submissions are often prioritized.
  • Do reach out for assistance. If unsure, contact customer service for help.
  • Don't rush through the form. Taking your time helps catch mistakes.
  • Don't forget to check for updates. Stay informed about any changes to the program.
  • Don't provide incomplete information. Incomplete forms can lead to automatic rejection.
  • Don't share sensitive information unnecessarily. Protect your personal data at all times.
  • Don't ignore the terms and conditions. Always read them to understand your rights and obligations.

Misconceptions

  • Misconception 1: The Myacuvue Rewards program is only for new users.

    This is not true. Existing customers can also participate and earn rewards through their regular purchases and engagement with the brand.

  • Misconception 2: You need to purchase a large quantity of products to earn rewards.

    Many people believe this, but rewards can be earned with any eligible purchase. Small, frequent purchases add up over time.

  • Misconception 3: Completing the rewards form is complicated.

    In reality, the process is straightforward and designed for user convenience. Clear instructions guide you through each step.

  • Misconception 4: You must submit your form immediately after making a purchase.

    This misconception can lead to unnecessary pressure. You have a set period to submit your form after your purchase, giving you time to gather any required information.

  • Misconception 5: Rewards points expire quickly.

    In fact, rewards points accumulate over time and have a longer expiration period than some customers realize, allowing ample opportunity to redeem them.

  • Misconception 6: You cannot combine rewards from different purchases.

    This is incorrect. The Myacuvue Rewards program allows you to combine your points from multiple purchases, maximizing your earning potential.

Key takeaways

Using the Myacuvue Rewards form can enhance your experience with ACUVUE® products. Here are some key takeaways to keep in mind:

  • Eligibility Check: Ensure you qualify for the rewards program. It typically applies to specific ACUVUE® products and purchases made within a certain timeframe.
  • Accurate Information: Complete the form with accurate details. Mistakes can lead to delays in processing your rewards.
  • Submission Process: Follow the instructions carefully for submitting the form. Whether online or by mail, ensure you adhere to the submission guidelines for a seamless experience.
  • Monitoring Rewards: After submission, keep track of your rewards status. The program may provide updates via email or through your account dashboard.