Bausch + Lomb 2014 mail-in rebate o er.

SAVE
Bausch + Lomb 2014 mail-in rebate offer.
UP TO
*REBATE PAID IN THE FORM OF A BAUSCH + LOMB VISA PREPAID CARD
®
110
*
$
Minimum purchase required.
See back for all terms
and conditions
Scan here and see how to
insert and remove your contact
lenses and get a special offer on
Biotrue multi-purpose solution
while supplies last!
®
Valid on products purchased between
JULY 1, 2014 TO DECEMBER 31, 2014
Rebate submissions must be postmarked
within 60 days of contact lens purchase.
** Minimum box purchase requirement
QUALIFYING PRODUCTS
[ Example: 4 boxes, submit 4 UPCs | 8 boxes, submit 8 UPCs ]
Bausch + Lomb PureVision® Contact Lenses
HOW TO RECEIVE YOUR REBATE
1) Get an eye exam.
2) Purchase the required number of qualifying boxes between 07/01/2014 - 12/31/2014.
3) Mail this completed offer form with the following materials to the address provided:
a. Original eye exam receipt with date circled.
b. Original sales receipt showing proof of payment for your eligible contact lens purchase(s). Purchase must be
made within 60 days of eye exam. Circle contact lens purchase and date on receipt. All receipts must be
from the same eye care practitioner who prescribed your contacts, or from a location affiliated with
that practitioner.
c. Original UPC symbols from EACH qualifying box. Copies of UPC symbols do not qualify. Example: Purchase
of 4 boxes, submit 4 UPCs. | Purchase of 8 boxes, submit 8 UPCs.
4) Submission must be postmarked within 60 days of your contact lens purchase. All receipts must be from the
same eye care practitioner who prescribed your contacts, or from a location affliated with that practitioner.
MAIL TO: BAUSCH + LOMB PROMOTIONS
OFFER #: 14-97093
PO BOX 540063
EL PASO, TX 88554-0063
FIRST NAME
PATIENT FIRST NAME
IMPORTANT: Make photocopies of your entire submission for your records. To
review the status of your submission at anytime, visit www.bausch.com/rebates. If you
do not have internet access, call (855) 806-3231 M-F 8am to 7pm CT. Allow up to
60 days for processing and delivery.
 Please contact me with offers and promotions from Bausch + Lomb.
LAST NAME
PATIENT LAST NAME
ADDRESS
CITY
EMAIL
STATE
ZIP CODE
PHONE
PureVision®2 --------------------------------- $40 off 4 boxes**
PureVision®2 Toric For Astigmatism --------- $40 off 4 boxes**
PureVision®2 Multi-Focal For Presbyopia ---- $40 off 4 boxes**
Bausch + Lomb SofLens® Contact Lenses
SofLens® daily disposable (90 pk) -------- $80 off 8 boxes**
Bausch + Lomb Biotrue® ONEday Contact Lenses
Biotrue® ONEday lenses (90pk) ------------ $80 off 8 boxes**
Biotrue® ONEday lenses For Presbyopia (30pk) ----- $80 off 12 boxes**
$35 off 6 boxes
Not eligible for exam rebate.
QUALIFY for your $30 Contact Lens Exam
rebate with your Eye Care Practitioner certification.
Have your Practitioner complete the statment below.
I certify this patient is new to contact lenses or was upgraded from
______________________ lenses to PureVision2®, SofLens®
daily disposable or Biotrue® ONEday contact lenses AND
purchased the minimum required quantity of eligible products.
Practitioner Certification: x_____________________________
Your right to receive this rebate will not be earned unless you satisfy each of the Conditions of Acceptance described above. Your failure to follow each of these steps is a rejection of this rebate offer. Resolution of
any disputes will be governed by New York law. The Mail-in Rebate Offer is valid on purchase of the following Bausch + Lomb contact lenses: PureVision2, PureVision2 Toric For Astigmatism, PureVision2
Multi-Focal For Presbyopia, Biotrue ONEday, Biotrue ONEday For Presbyopia and SofLens daily disposable. Purchase of the qualifying product(s) is required to qualify for this rebate offer; no product
substitutions, deletions, or additions are allowed, regardless of information learned from other sources. This offer is available to all customers with mailing addresses in the U.S. and Puerto Rico. Purchases made in
or for delivery to other countries are not eligible. Bausch + Lomb is not responsible for lost, late, damaged, illegible, misdirected or postage-due submissions. Your rights to this offer cannot be assigned or
transferred and this offer is void where taxed, restricted or prohibited by law. All submitted materials become Bausch + Lomb property and will not be returned. One rebate per patient, per 12 month period. Limit
five (5) rebates per address per 12 month period except where prohibited. See information accompanying card for all terms and conditions. Rebate paid in the form of a Visa prepaid card. The Visa prepaid card
is not redeemable for cash or usable at any ATM. Terms and Conditions apply to the card. Subject to applicable law, a monthly maintenance fee of $3 (USD) applies, but is waived for the first six months after the
card is issued. Your card is issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. Cards can be used at any merchants that accept Visa debit cards within the United States and US
Territories. Bausch + Lomb reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. Excessive submissions constitute fraud and may result in federal prosecution under the
U.S. mail fraud statutes (Title 18, USC 1341 and 1342). NOTICE TO CONSUMERS: If you are personally filing a claim for reimbursement from a third-party payor (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 this rebate. If your doctor is filing this claim, you must notify the doctor’s office of the need to deduct this rebate
amount from the purchase price used in calculating the claim. Valid only on purchases from authorized VSP locations.
© 2014 Bausch & Lomb Incorporated. Bausch + Lomb, PureVision, SofLens and Biotrue are trademarks of Bausch & Lomb Incorporated. All other product/brand names are trademarks of their respective owners.
14-97093 US/BOD/14/0026c