MyACUVUE REWARDS MAIL IN SUBMISSION FORM

1 MyACUVUE REWARDS mail IN SUBMISSION FORMPURCHASE DETAILSEYE CARE PROFESSIONAL (First and Last Name)PATIENT NAME ON PRESCRIPTIONREWARDS CODE (From the promotional page provided by your seller)Page 1 of 2 SELECT THE QUANTITY PURCHASEDSee next page for number of boxes required for each mark the left (L) eye and right (R) eye box corresponding to your Box (12 Lenses per box)1 Box (24 Lenses per box)2 Boxes (6 Lenses per box)2 Boxes (12 Lenses per box)4 Boxes (6 Lenses per box)4 Boxes (90 Lenses per box)12 Boxes (30 Lenses per box)SELECT YOUR ACUVUE BRANDP lease mark the left (L) eye and right (R) eye brand corresponding to your OASYS 1 Day for ASTIGMATISMACUVUE OASYS 1 Day with HydraLuxe Technology1 DAY ACUVUE MOIST Brand MULTIFOCAL 1 DAY ACUVUE MOIST1 DAY ACUVUE MOIST for ASTIGMATISM1 DAY ACUVUE TruEye 1 DAY ACUVUE DEFINE ACUVUE VITA ACUVUE VITA for ASTIGMATISMACUVUE OASYS 2 Week for ASTIGMATISMACUVUE OASYS 2 Week for PRESBYOPIAACUVUE OASYS 2 Week- ALL FIELDS ARE REQUIRED OR SUBMISSION WILL NOT BE APPROVED -FIRST NAME LAST NAMECONTACT INFORMATIONIf patient is under 13 years old, please provide parent or guardian CODEBIRTH DATE (MM/DD/YYYY)

2 EMAIL ADDRESS (All reward notices will be delivered via this email address.)MOBILE PHONESHIPPING ADDRESS (No Boxes, please.)Required for reward ful illment a copy of your receipt showing sellers' name, patient name, ACUVUE Brand purchased, quantity purchased, purchase date and purchase price. Please ensure all information is SUBMISSION form and receipt to: HelloWorld, Inc. PO Box 5085 Kalamazoo, MI 49003 5083 You will receive an email from with your reward status after your SUBMISSION has been approved, your reward con irmation will also be sent via email, with an option select a digital or physical submitting my information, I agree that Johnson & Johnson Vision Care, Inc.

3 , may use it to evaluate my REWARDS SUBMISSION and to contact me about this program, and that it will be governed by the Johnson & Johnson Vision Care, Inc., Privacy Policy ( ).I have read the Full Terms and Conditions. Reward requests must be received within 60 days of INFORMATIONI wear contacts in both eyes (ensure both and are marked) I only use these contact lenses in one eye (select only or ) Please select one option questions or comments, please contact us at acuvue@helloworldful & CONDITIONS. Purchases of ACUVUE OASYS Family, 1 DAY ACUVUE MOIST Family, 1 DAY ACUVUE TruEye , ACUVUE VITA and 1 DAY ACUVUE DEFINE must be made in-o ice or in-store between January 1, 2018 and March 31, 2018.

4 * Reward (rebate) requests with valid Reward Code obtained from place of purchase must be received within 60 days of purchase. Requires SUBMISSION of product purchase receipt showing (a) patient name, (b) name of seller, (c) ACUVUE brand purchased, (d) number of boxes/lenses purchased, (e) date of purchase. For fastest reward (rebate), submit online. To submit for a reward (rebate) online, the consumer must register online for MyACUVUE and become an ACUVUE Insider. By registering as a MyACUVUE member, the consumer agrees to receive promotional communications including insider o ers, rebates, surveys, and other communications.

5 Consumer may opt out of these communications at any time by visiting Alternatively, consumer may submit by mail by downloading a form from SUBMISSION whether online or by mail must include: (a) submitter irst and last name (b) address, (c) birthdate, (d) reward code, (e) email address, (f) phone number. Failure to provide all required information will prevent receipt approval. Limit one reward per customer, per o er, per yearly eye exam visit. Limit four (4) reward requests per household per year. This o er is not valid in combination with any other product o er including Money Back Guarantee. O er valid for residents only.

6 O er not valid where prohibited by law. Allow 14 days for delivery for electronic submissions , 6 8 weeks for alternative mail -in requests. No boxes, only street or rural addresses are acceptable for mail -in requests. Fraudulent submissions could result in federal prosecution under the mail Fraud Statutes (18 Code Section 1341 and 1342). Not responsible for lost, late, undelivered responses and/or incomplete forms. Johnson & Johnson Vision Care, Inc., reserves the right to cancel this REWARDS program and institute fraud prevention measures at any time without notice. Quantity requirements are based on typical purchase of lenses for two REWARDS are only valid on in-o ice purchases and purchases made at select retail locations.

7 REWARDS are not valid for internet purchases and purchases made at large retailers including (but not limited to) Costco Optical, Sam s Club Optical, BJ s Optical, Walmart Optical or Target Optical, but other o ers may be available for ACUVUE Brand purchases at these retailers. NOTICE TO CONSUMERS: If you are personally iling a claim for reimbursement from a third-party payer ( , insurance company, employer group, etc.) for the purchase of this product, your claim must be based upon your payment less the amount of the rebate. If your doctor is iling the claim, you must notify the doctor s o ice of the need to deduct this rebate amount from the purchase price used in calculating the claim.

8 * REWARDS are in the form of an ACUVUE Brand Visa Prepaid card. Card is issued by the Bancorp Bank, Member FDIC, pursuant to a license from Visa Inc. Reward type (Physical or Digital) must be selected within three (3) months of receiving reward email or reward will expire. Once reward type is selected, the funds must be used within six (6) months or the reward will expire. ACUVUE , ACUVUE OASYS , 1 DAY ACUVUE MOIST, 1 DAY ACUVUE TruEye , ACUVUE VITA , 1 DAY ACUVUE DEFINE are trademarks of Johnson & Johnson Vision Care, Inc. Johnson & Johnson Vision Care, Inc., 2018. The third-party trademarks used herein are trademarks of their respective RewardsPage 2 of 2$20 ANNUAL SUPPLY8 boxes (6 Lenses per Box)$20 ANNUAL SUPPLY2 boxes (24 Lenses per Box)4 boxes (12 Lenses per Box)ACUVUE OASYS BrandContact Lenses 2 WeekACUVUE OASYS Brand2 Week for PRESBYOPIAACUVUE OASYS Brand 2 Week for ASTIGMATISMACUVUE OASYS Brand1 Day for ASTIGMATISMACUVUE OASYS Brand1 Day with HydraLuxe Technology$200 ANNUAL SUPPLY24 boxes (30 Lenses per Box)$200 ANNUAL SUPPLY8 boxes (90 Lenses per Box)$100 ANNUAL SUPPLY8 boxes (90 Lenses per Box)24 boxes (30 Lenses per Box)

9 1 DAY ACUVUE MOIST BrandMULTIFOCAL$200 ANNUAL SUPPLY8 boxes (90 Lenses per Box)24 boxes (30 Lenses per Box)$40 ANNUAL SUPPLY2 boxes (12 Lenses per Box)4 boxes (6 Lenses per Box)AC UVU E VITA Brand Contact Lenses$40 ANNUAL SUPPLY4 boxes (6 Lenses per Box)AC UVU E VITA for ASTIGMATISM1 DAY ACUVUE MOIST BrandContact Lenses1 DAY ACUVUE TruEye BrandContact Lenses1 DAY ACUVUE MOIST Brandfor ASTIGMATISM1 DAY ACUVUE DEFINE BrandContact LensesValues below re lect reward value possible upon SUBMISSION . Reward values for purchases made 1/1/18 - 3/31/18.