Military Appreciation LASIK Sweepstakes Patient Availability*Yes, I am available on July 10, 2018 for surgery.The Laser Eye Surgery of Erie is proud to announce our first-ever “Military Appreciation LASIK Sweepstakes.” This is open to United States Military Veterans, Active/Retired Military Personnel from all service branches of the U.S. Armed Forces, National Guard and Reservists. Enter for your chance to win a Refractive Surgery (LASIK/PRK) procedure from Laser Eye Surgery of Erie. Experience a life changing surgery from Dr. Robert Haverly and Laser Eye Surgery of Erie! Winner MUST be available for surgery on July 10, 2018 as well as pre-operative testing that must be completed 30 days prior to procedure. Good Luck and be sure to follow us on Facebook, Twitter and Instagram! Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Military Branch of Service*Are you 18 or older?*Yes, I am over the age of 18.No, I am not over the age of 18 and do not qualify for procedure.How did you hear about this contest?*Internet AdvertisementLaser Eye Surgery WebsiteLaser Eye Surgery Social Media ChannelsRadioOtherOfficial Rules*By selecting "Submit" I agree to the terms and conditionsThe Laser Eye Surgery of Erie is proud to announce our first “Military Appreciation LASIK Sweepstakes.” Sweepstakes is sponsored by Laser Eye Surgery of Erie (“Sponsors”). This sweepstakes is governed by these Official Rules (“Official Rules”). By participating in the Sweepstakes, each entrant agrees to abide by these Official Rules, including all eligibility requirements, and understands that the results of the Sweepstakes, as determined by Sponsor and its agents, are final in all respects. The Sweepstakes is subject to all federal, state and local laws and regulations and is void where prohibited by law. This promotion is in no way sponsored, endorsed or administered by, or associated with, Facebook. Any questions, comments or complaints regarding the promotion will be directed to Sponsor, not Facebook. Contest Start Date: April 20, 2018 OFFICAL RULES Contest Name: Military Appreciation LASIK Sweepstakes (the “Sweepstakes”) Sponsor: Laser Eye Surgery of Erie Address: 311 West 24th Street, Erie, PA 1502 Phone: 814-455-7591 Laser Eye Surgery of Erie will conduct the Contest as described in these rules, and by participating, each participant agrees as follows: A. NO PURCHASE NECESSARY TO ENTER OR WIN B. DATES OF SWEEPSTAKES/PRIZE: Registration will begin April 20, 2018 and end on May 23, 2018. On May 29, 2018 winner will be contacted. The prize that will be awarded to the eligible winner is one (1) Refractive Surgery (LASIK/PRK) procedure valued up to $4,249. Prize is not transferable, redeemable for cash or exchange for any other prize/service. Procedure must be completed on July 10, 2018 and all necessary pre-operative testing completed within 30 days of surgery date. If winner is disqualified, Laser Eye Surgery of Erie reserves the right to determine an alternative winner or not to award the winner’s prize, in its sole discretion. Winner will be contacted, based on eligibility being verified, on May 29, 2018. C. ELIGIBILITY: This is an event open to United States Military Veterans, Active/Retired Military Personnel from all service branches of the U.S. Armed Forces, National Guard and Reservists. Entrant must be legal residents of the Erie, Crawford and Venango County. Each entrant must be eighteen (18) years of age or older at the time of entry who have Internet access and a valid e-mail account prior to the beginning of the Sweepstakes period. Sponsor has the right to verify the eligibility of each entrant. Employees (including, without limitation, part-time or temporary employees) of Laser Eye Surgery of Erie and contest sponsors their respective parent entities, subsidiaries, affiliated companies and advertising and promotion agencies and the immediate family (i.e., current and ex- spouses, parents, grandparents, children, grandchildren, and siblings and in-laws and steps in any of the foregoing categories) and other household members (i.e., roommates, housemates, significant others, and partners of each legally residing at the same address) of each are NOT eligible. D. CONTEST PERIOD: The Contest begins at April 20, 2018 8:00AM EST and ends at May 23, 2018, 11:59PM EST. (“Contest Period”). All entries (submissions) must be received on or before the time stated during that submission period. E. HOW TO ENTER: Enter the Sweepstakes through the Laser Eye Surgery of Erie website. Entrants must fill out all required fields on the entry form to participate in the Sweepstakes. After submitting the required information on the entry form, the entrant will receive one (1) entry into the Sweepstakes. Limit one entry per person per Submission Period. The entry cannot be used for a friend, family member or person other than themselves. F. WINNER SELECTION: All eligible entries received during the Submission Period will be gathered into a database each day of the Sweepstakes. Each entry will be reviewed that all necessary information has been supplied. Winner will be selected at random on May 29, 2018. One (1) winner in total. The entrant is responsible for monitoring his/her phone for winner notification and receipt or other communications related to this Sweepstakes. If a potential prize winner cannot be reached by Administrator (or Sponsor) within two (2) days using the contact information provided at the time of entry, the prize will be forfeited, and an alternate winner will be selected. Upon the request of the Sponsor, the potential winner may be required to provide proof of military status, return an Affidavit of Eligibility, Release and Prize Acceptance Form and IRS W-9 form. If a potential winner fails to comply with these official rules, that potential winner will be disqualified. Prizes may not be awarded if an insufficient number of eligible entries are received. G. PRIZE. One (1) FREE Refractive Surgery(LASIK/PRK) procedure. Valued up to $4,249. One (1) will be given away in total. Not redeemable for cash and/or credit. The prize is non-transferable. This means if the winner is not a surgical candidate or was entering to win it for another person; prize may be approved for someone other than themselves with Laser Eye Surgery administration approval. Before a surgery can take place all the doctors requirements must be met including a surgical evaluation to determine eligibility. This would be done by the staff at Laser Eye Surgery of Erie. H. OTHER TERMS: The prize must be booked and completed on July 10, 2018. All follow up appointments’ must be kept after surgery. The surgical candidate will be expected to sign consent forms. No claims or guarantee of a 20/20 vision outcome after surgery. Laser Eye Surgery of Erie reserves the right to amend or add rules to this contest at any time. Additional terms and conditions may apply. Incidental expenses and all other costs and expenses which are not specifically listed as part of a prize in these Official Rules and which may be associated with the award, acceptance, receipt and use of all or any portion of the awarded prize are solely the responsibility of the respective prize winner. I. ALL FEDERAL, STATE AND LOCAL TAXES ASSOCIATED WITH THE RECEIPT OR USE OF ANY PRIZE IS SOLELY THE RESPONSIBILITY OF THE WINNER. J. ADDITIONAL LIMITATIONS: Sponsor and its respective parent, affiliate and subsidiary companies, agents, and representatives are not responsible for any typographical or other errors in the offer or administration of the Sweepstakes, including, but not limited to, errors in any printing or posting or these Official Rules, the selection and announcement of any winner, or the distribution of any prize. Any attempt to damage the content or operation of this Sweepstakes is unlawful and subject to possible legal action by Sponsor. Sponsor reserves the right to terminate, suspend or amend the Sweepstakes, without notice, and for any reason, including, without limitation, if Sponsor determines that the Sweepstakes cannot be conducted as planned or should a virus, bug, tampering or unauthorized intervention, technical failure or other cause beyond Sponsor’s control corrupt the administration, security, fairness, integrity or proper play of the Sweepstakes. In the event any tampering or unauthorized intervention may have occurred, Sponsor reserves the right to void suspect entries at issue. Sponsor and its respective parent, affiliate and subsidiary companies, agents, and representatives, and any telephone network or service providers, are not responsible for incorrect or inaccurate transcription of entry information, or for any human error, technical malfunction, lost or delayed data transmission, omission, interruption, deletion, line failure or malfunction of any telephone network, computer equipment or software, the inability to access any website or online service or any other error, human or otherwise. K. INDEMNIFICATION AND LIMITATION OF LIABILITY. BY ENTERING THE SWEEPSTAKES, EACH ENTRANT AGREES TO INDEMNIFY, RELEASE AND HOLD HARMLESS SPONSOR AND ITS PARENT, AFFILIATE AND SUBSIDIARY COMPANIES, THE FACEBOOK PLATFORM, ADMINISTRATOR, ADVERTISING AND PROMOTIONAL AGENCIES, AND ALL THEIR RESPECTIVE OFFICERS, DIRECTORS, EMPLOYEES, REPRESENTATIVES AND AGENTS FROM ANY LIABILITY, DAMAGES, LOSSES OR INJURY RESULTING IN WHOLE OR IN PART, DIRECTLY OR INDIRECTLY, FROM THAT ENTRANT’S PARTICIPATION IN THE SWEEPSTAKES AND THE ACCEPTANCE, USE OR MISUSE OF ANY PRIZE THAT MAY BE WON. SPONSOR AND ITS PARENT, AFFILIATE AND SUBSIDIARY COMPANIES DO NOT MAKE ANY WARRANTIES, EXPRESS OR IMPLIED, AS TO THE CONDITION, FITNESS OR MERCHANTABILITY OF THE PRIZE. SPONSOR AND ITS PARENTS, SUBSIDIARIES, AFFILIATES, ADVERTISING AND PROMOTIONAL AGENCIES, AND ALL THEIR RESPECTIVE OFFICERS, DIRECTORS, EMPLOYEES, REPRESENTATIVES AND AGENTS DISCLAIM ANY LIABILITY FOR DAMAGE TO ANY COMPUTER SYSTEM RESULTING FROM ACCESS TO OR THE DOWNLOAD OF INFORMATION OR MATERIALS CONNECTED WITH THE SWEEPSTAKES. Sweepstakes Administrator is not responsible for any error or technical malfunctions associated with the www.facebook.com site (and its associated pages) that may affect any entrant’s ability to enter, win, be viewed or be properly considered in this Sweepstakes, regardless of the cause. In the event of a malfunction associated with the Facebook site that Sponsor (in its sole discretion) deems to materially and adversely affect this Sweepstakes, Sponsor reserves the right to suspend this Sweepstakes, terminate this Sweepstakes without a winner, terminate this Sweepstakes and select a winner early, provide alternative means of entry or any other changes to these Sweepstakes rules that Sponsor deems appropriate under the circumstances. Any such changes, terminations or suspensions will be posted on the Sponsor’s Facebook page and/or Sweepstake Application, as determined by Sponsor. L. PUBLICITY/RELEASE. By participating, each entrant grants Sponsor permission to use his/her name, likeness or comments for publicity purposes without payment of additional consideration, except where prohibited by law. In order to receive prize, winner must sign an official waiver form provided by Sponsor.