License Application for Vending/Gambling/Amusement

License Fee: $25.00 for each machine

 

TERM OF LICENSE
July 1, 2021, thru June 30, 2022

  • Date Format: MM slash DD slash YYYY
  • TYPE OF MACHINE (gambling/vending/amusement)SERIAL NUMBER (if available)BUSINESS NAME & STREET ADDRESS (where the machine/equipment is located in Roscoe) 
  • This field is for validation purposes and should be left unchanged.
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