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Get and Sign Arkansas Raffle Registration Form 2012-2022
Organization - (Attach copy of lease agreement)
Other
(explain):
SECTION C: LICENSE TYPE
4) Type of License:
(check the appropriate box)
Original
Renewal*
A) $100.00 Annual fiscal license to operate games of bingo and raffle
B) $25.00 Temporary license to conduct one bingo session
C) $25.00 Class I temporary license to conduct one raffle
D) $10.00 Class II temporary license to conduct one raffle (Prize donated and has a value less than $5,000.00)
*If renewal application, supply existing...
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