HomeMy Public PortalAboutRAFFLE BAZAAR APPL _201411131319181510THE COMMONWEALTH OF MASSACHUSETTS
WATERTOWN
(City or Town)
APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS
(C. 810, ACTS OF 1969) .
Name and Address of Nonprofit Organization:
Evidence of Qualification for Permit:
O (a) Veterans' organization chartered by the Congress of the United States or included in clause (12) of
section five of chapter forty of the General Laws; or,
O (b) Church or religious organization; or,
O (c) Fraternal or fraternal benefit society;
❑ (d) Educational or charitable organization; or,
O (e) Civic or service club or organization; or,
❑ (f) Club or organization orgwni7ed and operated exclusively for pleasure, recreation and other nonprofit
• purposes, no part of the net earnings of which inures to the benefit of any member or shareholder.
Officers or members of organization responsible for operation of raffle or bazaar:
Name Residence Address
(1)
(2)
(3)
Uses to which net proceeds will be applied:
(signature of authorized officer or member of organization)
Application certified to be in
Conformity with C, 180, Acts
of 1969
City/Town Clerk
PERMIT (ISSUED) (DENIED)
. • (date)
The applied (is) (is not) qualified to operate raffles and bazaars under the
provisions of C, 810, Actions of 1969:
City/Town Clerk Chief of Police