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WIN/LOSSSTATEMENTREQUESTFORM
PleasefilloutthefollowinginformationentirelyandreturntothePlayersClubormail/fax to:
MountaineerCasino
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FAX:3043878363
RequestsforWin/LossStatementswillbeprocessedintheorderinwhichtheyarereceived.
Pleaseallowupto3weeksforprocessinganddelivery.
Aldwin/LossStatementswillbemailedtotheaddressrecordedonfile.
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