Cash Rebates Redemption Form Click here to fill and download form Note: You can fill , print and save the form then upload from this page. Or you can download a copy and save then upload. Cash Rebates Cash Rebate Submission Enter Account Number(Required) Enter Optical Name(Required) Email(Required) Enter your email addressUpload Cash Rebate Redemption Form(Required) Drop files here or Select files Accepted file types: pdf, Max. file size: 256 MB, Max. files: 5. Once you have filled and download your from please click "Choose File" and upload the form or forms you saved in PDF format.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.