Get ME Megabucks Plus Subscription Form

You must have an address in Maine to purchase a Megabucks Plus subscription. Questions 207-287-6767 or mainelottery maine. Maine Megabucks Plus Subscription Form MAINE Don t miss a single drawing of Megabucks Plus. Complete this form and return it with payment to Maine State Lottery 8 State House Station Augusta ME 04333. gov PLUS Are you renewing an existing subscription Choose the number of draws Cost per draw selection Yes No Name SS optional Mailing address ME City State Zip Daytime phone Email address I certify under penalty of perjury that the owner of this subscription is at least 18 years old and the information provided is accurate to the best of my knowledge. Gift subscription Yes Payment Check If yes do you want the confirmation card sent to you Yes A Gift From Please make payable to Treasurer of State MasterCard Discover Credit Cardholder Information as it appears on your statement Credit Card Exp* Date Address How to select your Megabucks Plus numbers Circle five 5 numbers plus one 1 Megaball number or choose Easy Pick to allow the lottery system to randomly pick your numbers. Go to www. mainelottery. com for more information* Circle five 5 numbers or choose Easy Pick 1 2 3 4 5 6 7 8 9 10 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Circle one 1 Megaball number or choose Easy Pick 1 2 3 4 5 6. gov PLUS Are you renewing an existing subscription Choose the number of draws Cost per draw selection Yes No Name SS optional Mailing address ME City State Zip Daytime phone Email address I certify under penalty of perjury that the owner of this subscription is at least 18 years old and the information provided is accurate to the best of my knowledge. Gift subscription Yes Payment Check If yes do you want the confirmation card sent to you Yes A Gift From Please make payable to Treasurer of State MasterCard Discover Credit Cardholder Information as it appears on your statement Credit Card Exp* Date Address How to select your Megabucks Plus numbers Circle five 5 numbers plus one 1 Megaball number or choose Easy Pick to allow the lottery system to randomly pick your numbers. Gift subscription Yes Payment Check If yes do you want the confirmation card sent to you Yes A Gift From Please make payable to Treasurer of State MasterCard Discover Credit Cardholder Information as it appears on your statement Credit Card Exp* Date Address How to select your Megabucks Plus numbers Circle five 5 numbers plus one 1 Megaball number or choose Easy Pick to allow the lottery system to randomly pick your numbers. Go to www. mainelottery. com for more information* Circle five 5 numbers or choose Easy Pick 1 2 3 4 5 6 7 8 9 10 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Circle one 1 Megaball number or choose Easy Pick 1 2 3 4 5 6. gov PLUS Are you renewing an existing subscription Choose the number of draws Cost per draw selection Yes No Name SS optional Mailing address ME City State Zip Daytime phone Email address I certify under penalty of perjury that the owner of this subscription is at least 18 years old and the information provided is accurate to the best of my knowledge. Gift subscription Yes Payment Check If yes do you want the confirmation card sent to you Yes A Gift From Please make payable to Treasurer of State MasterCard Discover Credit Cardholder Information as it appears on your statement Credit Card Exp* Date Address How to select your Megabucks Plus numbers Circle five 5 numbers plus one 1 Megaball number or choose Easy Pick to allow the lottery system to randomly pick your numbers. Go to www. mainelottery. com for more information* Circle five 5 numbers or choose Easy Pick 1 2 3 4 5 6 7 8 9 10 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Circle one 1 Megaball number or choose Easy Pick 1 2 3 4 5 6. .