PA: Dauphin County - Small Games of Chance License Fee

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VISA, MasterCard and Discover cards ONLY.
Type of Application*

Address of Licensed Premises

Second portion of ZIP Code is optional.

ACKNOWLEDGMENT: By continuing, I understand that the renewal will not be processed until the application is received and approved.

Note: Service Fees are non-refundable.
Note: A service fee of $2.50 or 2.95%, whichever is greater, will be assessed for card payments. A fee of $2.00 will be assessed to payments made from checking and savings accounts. The service fee will appear on the CHECKOUT page. If you do not agree to these terms, please click CANCEL below and make different payment arrangements.

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