Enter your details below for a chance to win the End of Year Giveaway

Enter below for your chance to win a full eye treatment package (valued up to 20'000 CHF), including diagnostics, treatment, and aftercare.

Full Name *

Phone *

Email *

Date of birth *

*minimum age is 23

City of Residence *

*must be in Switzerland

Are you currently wearing glasses or contact lenses? *

Yes

Upload your video *

Why do you want this treatment, and what would it mean for your life?

Contact of someone you’d like to refer (optional)

By submitting this form, you agree to receive updates about the giveaway and information about vision correction. You can unsubscribe anytime.

By clicking here, I state that I have read and understood the terms and conditions.