Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br />FEE <br />f�RSH f'CrE <br />(city or town) <br />APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br />(C. 810, ACTS OF 1969) <br />Name and address of Nonprofit Organization: <br />Evidence of Qualification for Permit: <br />❑ (a) Veterans' organization chartered by the Congress of the United States or included in clause (12) <br />of section five of chapter forty of the General Laws; or, <br />❑ (b) Church or religious organization; or, <br />❑ (c) Fraternal or fraternal benefit society; or, <br />(d) Educational or charitable organization; or, <br />❑ (e) Civic or service club or organization; or, <br />❑ (f) Club or organization organized and operated exclusively for pleasure, recreation and other <br />nonprofit purposes, no part of the net earnings of which inures to the benefit of any member or <br />shareholder. <br />Officers or members of organization responsible for operation of raffle or bazaar: <br />Name <br />Residence Address <br />(3) / <br />Uses to,which net proceeds will be applied: 4ta ef44/ hi Le-5-eet 3 fi� <br />Application ertified to be in <br />confor 't' it 810, Acts <br />of 1969: <br />City/T n Clerk <br />PERMIT (ISSUED) MENtE <br />(date) <br />• City/Town Clerk <br />FORM 810 REV. 12/91 H&w Horms&WARREN ru <br />member of organization) <br />The Applicant (is) (is not) qualifi operate raffles and <br />bazaars under the ro 'sions of/C. 8P0, Acts of 1969: <br />of Police <br />OVER <br />