Thank you for your interest in a five day supply of 10 PRECISION1® contact lenses for your personal evaluation. If you still wish to receive the trial, please fill in all of the information below and submit this form. All of the fields are mandatory.

PRECISION1® is available in the following power range (diopter) : -0.50 to -6.00 (0.25D steps), -6.50 to -12.00 (0.50D steps), +0.50 to +6.00 (0.25D steps), +6.50 to +8.00 (0.50D steps)

1-800-268-4574 or by writing to:
Alcon Canada Inc.
Attn: Customer Service
2665 Meadowpine Blvd. Mississauga, Ontario L5N 8C7

My refusal or future revocation will not affect my ability to attend the PRECISION1® launch event; however, if I revoke this authorization, I will no longer be eligible to participate in the personal evaluation of contact lenses. If I revoke this authorization, the Alcon Group will stop using or sharing my information (except as necessary to end my participation) but my revocation will not affect uses and disclosures of my Personal Information previously disclosed in reliance upon this authorization. I understand that this authorization will remain valid for 1 month, unless I revoke it earlier. I understand that I have the right to receive a copy of this form.

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© 2020 Alcon Inc. 06/20 CA-PR1-2000077
See product instructions for complete wear, care and safety information.
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