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WVRGMIA LOTTERY Chech one box from each el the two sections: 1) 26,52 or 104 draws, yoor six lucky ooabors by tiling in the box (with pencil that has the number you want pC 'easy pick* box to lot the computer s •/ ' j '-A -V ri ,? Y \ - ,•/ HUS! PRINT INFORMATION AIOUT PERSON RECEIVING SUBSCRIPTION. I thotjxts the number you wont ployed in it. OR fill in the soled six numbers tor you. Rome Address Gy_ "BET ■KW TT Slote VA Bo Data ofBerth _ ■uneuwraawHiwmw asiu,
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IIXIXSlI Ooytimo Phone (_ E veningftsooo (_ Social Security# _ (Social Security timber not required to jloy lotto By Mol hot rayMI subscriber urn.)" US. Citizen Resident Alien □Aten If A 6tfl, KAMf Of GIVES Phone(_ -BET J. “5-cr Please alow 3 weeks to process subscription □ Group Subscription | I
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s Mil ywv check M the subscription form to: Virginia Lottery ICTIO BY MM RO. Bon 18158 For more information call 1800 354 MAIL CMkel^lyeeartieMorfoi^elyeuriknipliMSiRMNdehRthwweAcSrAxiiplieoanWhioeayondwIlwwiiryewchedrwiMMyerdwkAdxnni Weave* W£Qm pnhaen ad wOnn east he ri ln> II yean aU.Gftsdxai^iors«>inn ore ixehbiledAnifemnaMngiisidxapiM rmet how oVY|ino snip address. Alruixai|)lions,tnimadnis ait winners hound by tbu Rules oed Keguletieoi \_j ore nkjoct to Uttery Bides ondMojeeroed Stele lews. Copies oreovoitnblo el «H Lottery oHkes ly porches, ol the subscriptioii, you egret to he bound by the Erdos end hpulotioos SUBSCRIBE TO THE RAPPAHANNOCK NEWS. Call 675-3338.
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