Reach Magazine, eReach.com and Stahl Vision bring you a chance to win a free LASIK surgery valued at approximately $4,780! The winner will be drawn on December 31, 2012. To be eligible to win, you must be a candidate for the LASIK procedure.

To register, simply fill out the form below. You may register once daily until December 30th to increase your odds of winning. One entry only per day, please.