Dauphin County

PA: Dauphin County - Small Games of Chance License Fee

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Type of Application*

Game of Chance License: $125.00

Monthly License: $25.00

Special Raffle Permit: $25.00

Name of Organization*

Address of Licensed Premises

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Prior Year License Number (if known)

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.

PA: Dauphin County - Small Games of Chance License Fee

Address of Licensed Premises

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

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