Varilux® Challenge Pledge

- For the next 30 days, recommend Varilux lenses to every presbyopic patient that visits your practice. Along the way we will partner with you, providing resources and tips to help you make your Varilux recommendations. Complete the fields below and start giving your patients vision without limits.
- Name*
  
  First NameLast Name
- Practice Name*
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number*
- Email*
  example@example.com
- Once you submit your information, you will receive a welcome email with tools and resources to help you in completing the 30-day Varilux Challenge.
- Should be Empty: