Claim Form

Purchase between 17/3/25 -12/5/25 and fill out your details below to claim your $8 Mastercard Cash Back Voucher.

First Name^*

Last Name^*

Email^*

Mobile^*

Postcode & Suburb Lookup^*

Is this your first time purchasing Refresh Tears Plus or Refresh Liquigel?

Yes

No

Did you consider another brand of eye drops before making this purchase?

Yes

No

What motivated you to purchase the products?

The $8 cash back offer

I use these products regularly

I trust the Refresh brand

Recommended to me by my healthcare professional/family/friend

I noticed the promotion materials in-store

Upload your proof of purchase^*

Receipt upload guide

Maximum file size: 2MB each.

File types accepted - PDF, JPG, JPEG or PNG only.

Ensure the receipt is in good condition, not damaged or in pieces. Images should be clear and in focus, not obscured by any objects. If the purchase receipt is missing any of the above information, or is illegible or indecipherable, it will render the entry invalid. If the same receipt is submitted multiple times, the Promoter will render all entries using that one receipt invalid.

Drop your image or choose file

I agree to the Terms & Conditions and Privacy Policy^*

I am an Australian resident aged 18 years or over^*

* Denotes mandatory field

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Cashback Terms & Conditions

ALWAYS READ THE LABEL AND FOLLOW THE DIRECTIONS FOR USE.

Refresh Tears Plus Eye Drops are for dry eyes from contact lens wear.  Refresh Liquigel Eye Drops is for the relief of dry eyes.

Conditions apply, see https://refresheyedrops.com.au/promos.html. AU residents 18+ only. Purchase between 17/3/25 & 11:59pm AEST on 12/5/25. Claims close 11:59pm AEST on 26/5/25 or once 3,000 claims received (whichever occurs first). Eligible Products only from Participating Stores. Retain receipt(s). Limit 1 claim p/person.

AU-RFS-250001. Feb 2025.