Please complete the form below to receive your complimentary pair* of Ray-Ban Wayfarers!

Once this form has been submitted, recipients must pick up glasses in-person at the EssilorLuxottica OD Lounge during the following designated time periods:

Thursday, June 20 | 12:30 - 2 p.m. CDT
Friday, June 21 | Noon - 1 p.m. & 3 - 4 p.m. CDT

*Please note that this giveaway is exclusive to first-time Leonardo registrants and is available on a first-come, first-served basis while supplies last.

EssilorLuxottica Eye Care is not responsible for sunglasses that are lost, stolen, or damaged after receipt.

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* 1. First Name

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* 2. Last Name:

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* 3. Personal Email (no .edu addresses):

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* 4. Graduation Year:

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* 6. Please upload a copy of your Leonardo Lessons Completion Certificate:

PDF, PNG, JPG, JPEG file types only.
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* 7. Please Confirm:

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