Contact lens information form - offer - SMS

In order to help us fulfill your enquiry and locate your account please provide us with the following information:

Please tick which is most relevant so that we can get the right expert help you quicker: *

I didn't want to cancel - please restart my subscription (including 1 month free)

I would like to restart my subscription and take a payment holiday (including 1 month free)

Select how long you would like your 'holiday' to last *

3 months suspension (1 delivery)

6 months suspension (2 delivery)

I am an existing Specsavers customer *

Yes

No

If yes which store are you registered with:

Name *

Date of birth *

Day

Month

Year

Telephone number *

E-mail *

Confirmation *

By ticking this box you are instructing Specsavers Finance (Guernsey) Ltd to collect Direct Debits from the details you previously supplied. These details will be confirmed in a letter that we will send to you. This Instruction is subject to the safeguards assured by the Direct Debit Guarantee - a copy of which will be included in the confirmation letter.

Confirm

easycare subscription: Customer becomes eligible for a free eye test 28 days after sign up to easycare package and once initial three month payment is made. Free eye test excludes OTC scan which incurs additional charge. Initial three-month payment required from new easycare package customers, for Rigid Gas Permeable (RGP) lenses you will be required to purchase one pair of lenses. No refund is available for eyecare (including, eye tests) already provided. All easycare package benefits are redeemable only by named person on easycare package. Package valid until your membership ceases by the cancellation of your direct debit payments or after prescription ceases to be valid (usually two years). Replacement lenses: Easycare customers can receive replacements of some lenses free of charge. Daily disposable contact lens wearers can have a maximum of 5 pairs of free replacement lenses in a 12 month period. Reusable contact lens wearers can have a maximum of 2 free replacement lenses (or one pair of free replacement lenses) in a 12 month period. Additional replacement lenses will be charged for. Replacements of rigid gas permeable (RGP) lenses are not free of charge so please contact your store for pricing.

For full terms and conditions of the easycare benefits, click here.

Terms and conditions: One month free when you sign-up to easycare for a minimum of three months. Initial two-month payment required upfront to avail of the offer. Offer can be redeemed once per person in a 12 month period, from one store only. Easycare subscription will continue after the three-month offer period at our standard rates unless cancelled. Excludes online purchases. Cannot be used with other offers or exchanged in whole or part for cash. Excludes coloured, gas permeable, hard lenses. Subject to suitability and availability. Current valid prescription required. Alternatively, if you do not have a current prescription an eye test and contact lens assessment may be required at our standard charge, unless you are eligible for a free eye test or contact lens assessment with PRSI or Medical Card entitlements. Easycare benefits are redeemable only by named scheme member. Easycare benefits are separate to and not dependant on any PRSI or Medical Card entitlements funded by the Department of Social Protection or HSE. For further information, terms and conditions relating to easycare, ask in store or visit https://www.specsavers.ie/contact-lenses/direct-debit-package