Original sales receipt with Alcon product(s) circled
One (1) Original UPC code for each brand of lens purchased
Copy of eye exam receipt and/or contact lens fitting receipt with date circled
Your Alcon Rebate Code. Don’t have one yet? Please click here to obtain one
If you prefer to submit your rebate form and required documention by U.S. mail, please click here to download and print a mail-in rebate form, along with mail-in rebate instructions.
Please note: The average time to complete a rebate submission on this site is approximately 5-10 minutes. If you need to stop your entry for any reason, this site will save your information as entered and allow you to resume your submission when you return later on the same device. If you have all of the documentation listed above and still require assistance, please contact 1-855-344-6871.