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Get CA CSL 1242 2012

IRST NAME SUFFIX MI DAY YEAR SSN/FEIN ADDRESS 1 ADDRESS 2 CITY STATE COUNTRY ZIP CODE E-MAIL I am NOT a US Citizen and I am NOT a Resident Alien I do not have a Social Security Number PHONE (Check this box only if you do not have a SSN) AREA CODE Are you a Lottery Retailer? Yes Are you employed by a Lottery Retailer? No Yes No Are you related to a Lottery Retailer? Yes No By volunteering to answer the following questions, you will help the Lottery know more about its pla.

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