Get MD Raffle Application - Carroll County 2005

FOR PERMIT in accordance with Maryland Annotated Code Criminal Law 13-902 909. Application of Name of Organization To the County Commissioners of Carroll County Application is hereby made on behalf of For a permit under the provisions of Maryland Annotated Code Criminal Law 13-902 909 as follows The Applicant is a Qualified Non-Profit Organization pursuant to Maryland Annotated Code Criminal Law 13-903 b located at in Carroll County. CARROLL COUNTY MARYLAND 225 N* Center Street Westminster Md. 21157 COLLECTIONS OFFICE Phone 410-386-2971 Fax 410-386-2770 APPLICATION NO. Address of Organization The Permit desired is for conducting a See Examples Below Where event is being held on the following dates Approximate Value of Prizes The Applicant obligates itself to see that the limitations as to number of raffles number and value of prizes contained in the referenced statutes shall be observed and that no individual or individuals shall benefit financially from the operation of the games for which permit is hereby applied and that no act done under said permit shall take place on Sunday. Application may be fax to 410-386-2770. Signature of Applicant Print Name of Applicant Mailing Address Telephone Number Examples Prize Raffle Basket Raffle/Bingo Gun Raffle-list of make and model of prizes must accompany application* Revised 9-05. Address of Organization The Permit desired is for conducting a See Examples Below Where event is being held on the following dates Approximate Value of Prizes The Applicant obligates itself to see that the limitations as to number of raffles number and value of prizes contained in the referenced statutes shall be observed and that no individual or individuals shall benefit financially from the operation of the games for which permit is hereby applied and that no act done under said permit shall take place on Sunday. Application may be fax to 410-386-2770. Signature of Applicant Print Name of Applicant Mailing Address Telephone Number Examples Prize Raffle Basket Raffle/Bingo Gun Raffle-list of make and model of prizes must accompany application* Revised 9-05. .