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TERMS p# subscription: $2 DRAWS *52.00 □ 104 DRAWS *104.00 □
If a Gift, Name of Giver .
Laal First
Phone ( )
Enclose check or money older payable to the “Virginia Lottery' for the correct amount due. Subscription will not become effective until you receive confirmation from the Virginia Lottery Department SUBSCRIPTION CANNOT BE CANCELED and will be void if your check or money order is dishonored. Subscription purchasers and winners must be at least 18 years old. Gift subscriptions to minors are prohibited. ANYONE RECEIVING A SUBSCRIPTION MUST HAVE A VIRGINIA MAILING ADDRESS. All subscriptions, transactions and winners are subject to Lottery Rules and Regulations and State Laws. Copies ate available at all Lottery offices. By purchase of this subscription, you agree to be bound by the Rules and Regulations.
Subscriber Signature
Subscriber No. _________________
(For renewals only) Enclose check or money order and mail to: Virginia Lottery, Lotto By Mail, P.O. Box 18158, Men-ifieid, VA 22118-0158.
Date
Jackpot chances: 1 in 7.1 million. Please allow 3 weeks to process subscription.
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