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FULL NAME - PHONE NUMBER - - - CARD TYPE VISA MASTERCARD AMEX CREDIT CARD NUMBER -- XXXX XXXX -- CARD EXPIRATION DATE - / MONTH / YEAR If using more than 1 credit card please submit an additional authorization form for each card used. 2. By submitting this form signed and dated along with the additional information requested I am authorizing and fully acknowledging the following a. I am the authorized cardholder and will honor all purchases initiated by me to my account with the below...
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The slots jackpot authorization form is a document that allows individuals to authorize the release of their personal information related to slot machine jackpots.
Individuals who have won a slot machine jackpot are required to file the slots jackpot authorization form.
The slots jackpot authorization form can be filled out by providing the required personal information, including name, contact information, and jackpot details.
The purpose of the slots jackpot authorization form is to allow casinos to release information about jackpot winners for tax and other reporting purposes.
The slots jackpot authorization form must include personal information of the jackpot winner, jackpot amount, and any tax withholding information.
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