Raffle Event Permit

RAFFLE EVENT PERMIT

Applicant Name:   Organization:

Contact Phone:   Contact Email:

WHEREAS

WHEREAS, Applicant seeks permission to conduct a raffle event as defined by applicable municipal and state regulations and to solicit, sell, and distribute raffle tickets for the purpose described in this permit; and

WHEREAS, Issuing Authority has the statutory authority to grant permits for raffles subject to conditions designed to protect the public interest and ensure accountability for proceeds and prize distribution; and

WHEREAS, the parties intend that this Permit memorialize the terms, obligations, and limitations applicable to the conduct of the raffle event described below;

EVENT DETAILS

Event Start Date:   Event End Date:   Hours of Operation:

SCOPE OF EVENT

Describe the planned raffle operations, including ticket distribution methods, location(s) where tickets will be sold, hours of sale, anticipated number of tickets to be offered, method and location of the drawing, and any third-party vendors involved.

PAYMENT TERMS

Permit Fee:   Due Date for Fee:

Payment Schedule or Installments (if applicable):

Late Fee / Penalty for Delinquent Payment (flat or percentage):

COMPLIANCE, INSURANCE, AND RECORDKEEPING

Is the raffle conducted for a registered charitable beneficiary?   Yes

Liability Insurance Provided:   Yes   Carrier:   Policy No.:   Coverage Amount:

TERM AND TERMINATION

Permit Effective Date:   Permit Expiration Date:

Issuing Authority may suspend or revoke this Permit for material noncompliance. Applicant may terminate activities by providing written notice to Issuing Authority at least days prior to intended cessation.

CONFIDENTIALITY

Applicant shall maintain the confidentiality of personal information collected from ticket purchasers and winners and shall not disclose such information except as required by law or as necessary to administer prize distribution. Applicant shall implement reasonable administrative and technical safeguards to protect purchaser data and shall notify Issuing Authority promptly of any unauthorized disclosure.

GOVERNING LAW; ENTIRE AGREEMENT

This Permit shall be governed by and construed in accordance with the laws of the state in which the Issuing Authority is located. Any dispute arising under this Permit shall be resolved in the appropriate courts of that state. This Permit, together with any attachments, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior understandings and agreements, whether written or oral.

APPLICANT CERTIFICATIONS

By applying for and accepting this Permit, Applicant certifies that all information submitted is true and complete, that Applicant will comply with all applicable laws, and that Applicant will submit any required reports and remittances within the timeframes required by the Issuing Authority.

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