CITYOFLEBANON—LicensingBoard
ApplicationforLicense
RSA287‐A
RAFFLES
Organization:
ContactPerson:
Street:City:State:Zip:
Phone: Email:
RaflePermit
ProceedstoBeneit:
Date(s)ofDrawing:
PlaceofDrawing:
[]Religious[]Charitable[]Educational[]Civic[]Veteran[]Other:
FOROFFICEUSEONLY
DateReceived: License#
APPROVAL:
MAYOR: Date:
ConditionsofUse
1. Anycharitableorganizationmayconductarafleandsellticketswithoutapermitsolongasthetickets
aresoldataneventlasting12hoursorless.(RSA287:A:7,II)
2. ExceptforraflesheldwithoutapermitunderRSA287:A:7,II,allrafleticketsshallbeprintedwiththe
nameofthecharitableorganizationthereon,thedateandplaceofthedrawing,andtheprizeorprizesto
beawardedandtheamountofthedonation.(RSA287‐A:3)
3. Rafleticketsshallbesoldonlytopersons16yearsofageoroverandnorafleticketsshallbesoldby
personsotherthanthemembersofthecharitableorganizationor such person or persons, as may be
designatedbytheorganization,andwhoshallreceivenoinancialremuneration.(RSA287‐A:4)
4. No charitable organization shall act as an agent for conducting a rafle, where it is unlawful for the
charitableorganization’sprincipaltoconductsucharafle.(RSA287‐A:5)
5. Thepermitshallexpireatthetimeofthedrawing,andisnottransferable.(RSA287‐A:7)
IagreetoconformtoallrequirementsforconductingarafleasoutlinedinNHRSA287‐A.
Signature: Date:
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