Application For Conducting A Raffle Form - Adams County, Illinois
ADVERTISEMENT
1
2APPLICATION FOR CONDUCTING A RAFFLE
IN ADAMS COUNTY, ILLINOIS
(Good for one raffle only)
1. Name of Organization ______________________________________________
Address__________________________________________________________
Type of Organization: □ Religious
□ Fraternal
□ Labor
□ Charitable
□ Educational
□ Veterans
Date when this group organized___________________________
If chartered or incorporated, date and place where papers issued:
_____________________________________________________________________
Purpose of the proceeds of the raffle______________________________________
Date(s) of prior requests, if any _________________________________________
2. Date when raffle winners will be determined ______________________________
Time _________________
Location _________________________________
Area or areas where tickets will be sold ___________________________________
_____________________________________________________________________
Date of ticket sales _______________ to _______________ Ticket Price ________
List prizes to be awarded and retail value of each.
Quantity
Prize
Value of Each
Total Value
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
_______
__________________________
$___________
$__________
TOTAL AGGREGATE VALUE OF ALL PRIZES:
$__________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal