HomeMy WebLinkAboutApplication for Special Raffle PermitAPPLICATION FOR FRANKLIN COUNTY
SPECIAL RAFFLE PERMIT
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1. NAME OF ORGANIZATION:
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2. ADDRESS:
STREET CITY/TOWN ZIP CODE
3. LOCATION OF DRAWING:
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NAME OF DRAWING LOCATION
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STREET CITY/TOWN ZIP CODE
4. DATE OF DRAWING: __________________________________________
5. NUMBER OF CHANCES TO BE SOLD: __________________________
6. PRICE PER CHANCE: _________________________________________
7. TOTAL CASH VALUE OF PRIZE(S): _____________________________
8. CURRENT FRANKLIN COUNTY
SMALL GAMES OF CHANCE LICENSE #: _______________________
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FOR OFFICIAL USE ONLY
FRANKLIN COUNTY
SPECIAL RAFFLE PERMIT #: _______