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Raffle Permit Application
Leave This Blank:
If you are conducting a raffle in the City of Brookings, you must complete the Raffle Permit Application. If you have additional questions please contact the City Clerk's Office at (605) 692-6281.
PDF Application
A PDF application is available for you to print, manually complete and return to City Hall for processing, or you may complete the online application below.
General Information
Date:
*
Organization:
*
Representative's Name:
*
Mailing Address:
*
City:
*
State:
*
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Zip Code:
*
Phone #:
*
Email:
*
Raffle Information
Item(s) to be raffled:
*
Date of raffle:
*
Location of raffle:
*
Proceeds of the raffle go to:
*
Signature:
By checking this box, I affirm my typed name represents my official signature.
*
* indicates required fields.
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