APPLICATION FOR RAFFLE LICENSE
1. Name of organization: ___________________________________________________
Address: ______________________________________________________________
______________________________________________________________________
Phone number:__________________________________________________________
Contact Person:_________________________________________________________
2. Duration (i.e. one year, one month, etc.) ____________________________________
3. Aggregate retail value of all prizes:_________________________________________
4. Price per raffle ticket:____________________________________________________
This application must be signed by the president, executive director, or head of the not-for-profit organization applying for said license.
____________________________
(title)
____________________________
(date signed)
(Res. 95.24, passed 7-12-1995)