Acuvue - Trial Lenses Fitting Form 2022 | ACUVUE® Brand Contact Lenses

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Acuvue - Trial Lenses Fitting Form 2022

City:

Store Name

Optometrist Name

Consumer Name

Phone number

+91

Age

Gender

Male

Female

Others

Current Vision Correction

Contact lens trial given for:

Did consumer purchase contact lenses?

Which brand purchased

No. of Boxes purchased

Below consent to be taken from the individual whose details are being collected in the form:

I consent that my personal details collected (“personal information”), will be stored, processed, and utilized in accordance with the terms of the privacy policy available at https://www.jnj.in/privacy-policy

I further consent that the information as shared with Johnson & Johnson Vision, will be utilized he purposes of direct marketing, including updating me about relevant product updates. Such information may be stored in a location outside of India (in a manner consistent with Indian regulations). I understand that Johnson & Johnson Vision will retain my personal information, for above mentioned purposes (in compliance with applicable statute)

I reserve the right to request for the deletion of my personal information so shared, by contacting the following email address: [email protected]