Form 201 - R - Charitable Gaming Permit Application Renewal Applicants Only Page 10
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12SUPPLEMENTAL INFORMATION
Use these forms only if the following circumstances apply: (1) the organization plans to
conduct a stand alone raffle - separate and apart from their regularly permitted charitable
gaming activities, or if this is the only type of event conducted during any permit term, or (2)
Use the Instant Bingo, Pull Tab, and Seal Card Requirements Form only if the organization
meets the requirements of Section 18.2-340.26:2 of the Code of Virginia.
1.
Stand Alone Raffle Requirements
2. Instant Bingo, Pull Tab, and Seal Card Requirements - For use only by an athletic
association or booster club or a band booster club established solely to raise funds for
school-sponsored athletic or band activities for a public school or private school accredited
pursuant to Section 22.1-19 or to provide scholarships to students attending such school.
This is limited to a single annual event a year.
Charitable Gaming Permit Application - Renewal Applicants Only
Rev. 07/30/13
Page 10 of 12
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