Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Raffle Application

  1. Indicate License Requested*

    Note: Fee must accompany application.

  2. Bond shall be in face amount of total amounted to be awarded to each raffle.

  3. Bond Waiver Requested*

  4. Enter the amount.

  5. When does the sale of raffle tickets begin?

  6. When does the sale of raffle tickets end?

  7. Tell us how many days the sale of tickets will last.

  8. The undersigned attest that the above named organization is eligible for a raffle license and meets all criteria pursuant to Chapter 17 of the Comprehensive Code of the Village of Bloomingdale. The undersigned do hereby state under penalties of perjury that all statements in the foregoing application are true and correct; that the officers and operators are of good moral character, have not been convicted of a felony, are in compliance with all terms and conditions of Chapter 17 of the Comprehensive Code of the Village of Bloomingdale; that if a license is granted hereunder, the undersigned will be responsible for the conduct of the raffle and drawing in accordance with all provisions of all laws of the Village of Bloomingdale and State of Illinois.

    I, the undersigned, have read the rules and regulations of Title 4, Chapter 4 in the Village of Bloomingdale Municipal Code and the State of Illinois Statutes relating to raffles.

    I, the undersigned, have never been convicted of a felony, nor have been known as a professional gambler or a promoter of a gambling operation.

  9. A copy of the articles of incorporation and/or charter of the organization making application must accompany this application. If already on file, please note.

  10. Leave This Blank: