Myacuvuerewards 2026

1. Click ‘Get Form’ to open the myacuvuerewards submission form in the editor.
2. Begin by selecting your ACUVUE® brand for both the left (L) and right (R) eyes. Ensure you mark the appropriate boxes corresponding to your purchase.
3. Fill in your contact information, including first name, last name, email address, mobile phone number, and shipping address. Remember to avoid P.O. Boxes.
4. Provide prescription information by entering the name of your eye care professional and the name on your prescription.
5. Select the quantity of boxes purchased and indicate if you are using one box for both eyes by marking the split (S) box if applicable.
6. Attach a copy of your receipt showing all required details such as patient name, purchase date, and price. Ensure all information is legible before submitting.
7. Review all entered information for accuracy before finalizing your submission. Once confirmed, print or save your completed form for mailing.

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