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Get Ca Chance 2019-2024

S. citizen, and I am Not a resident alien Are you retailer? Yes No SOCIAL SECURITY NUMBER: - I do not have a Social Security Number - DAYTIME PHONE NUMBER: ( ) Area Code Are you employed Yes by a retailer? No Are you related Yes to a retailer? No PRIZE INFORMATION PRIZE NAME: DRAWING NAME: DRAWING ID (IF APPLICABLE): TICKET ID/ ENTRY CODE: PROVIDING THE FOLLOWING Which of the following do you consider yourself to be: African American Hispanic Asian White O.

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