Follow the steps to successfully complete your rebate submission.

1. Click ‘Get Form’ button to access the Coopervision Rebate form and open it in your preferred document editor.
2. Carefully read the instructions provided on the form. Ensure you have the necessary documents ready, including your sales receipt for the contact lenses, the exam receipt, and the appropriate end panels, which contain prescription information.
3. Fill in your personal information accurately. This includes your name as it should appear on the Visa® prepaid card, your address, city, state, zip code, email address (optional), and phone number.
4. Indicate the Coopervision lenses you purchased by checking the corresponding boxes on the form. Ensure the quantity matches your purchase to qualify for the rebate.
5. Attach all required documentation: your dated sales receipt for the eligible lens purchase(s) with the purchase and date circled, the dated eye exam receipt with the exam and date circled, and the correct end panels.
6. Review all information for accuracy before submitting your form. Inaccurate or incomplete submissions may lead to rejection.
7. Once you have verified that all sections are complete, save changes to your document. You can then download, print, or share the form along with your attachments as per submission guidelines.

Complete your Coopervision rebate submission online today for a chance to receive your savings!