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Application for License to Conduct a Raffle

  1. Applicant is a bona fide religious, charitable, labor, business, fraternal, educational or veterans organization that operates without profit to their members and which have been in existence continuously for a period of 5 years immediately before making application for a license and which have had during that 5 year period a bona fide membership engaged in carrying out their objectives.
  2. The undersigned, under penalties or perjury, hereby states that the above information is true and correct.
  3. Type Full Name

  4. Secretary / Attesting Officer Acknowledgement
  5. President / Presiding Officer Acknowledgement
  6. A $10 fee, payable to the City of Litchfield, must accompany each application.
  7. Name
  8. Price
  9. Leave This Blank: