Promotional Pulltab Order Form

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WE CANNOT SELL OR SHIP GAMES INTO OTHER STATES!!!

You must be a resident or business based out of Minnesota to purchase promotional pulltabs from us. Please fill out the form below regarding your game request and we will contact you to collect payment via phone or we can send you an invoice through Square to your email. You must use a credit card for processing. We will not keep your card information on file. We also will not use your email to solicit. Thank you. Email pulltabsplus@gmail.com with any questions.

Please note - There are 4 games to choose from.
1. Silver Dollar Slots (3 pull ticket)
2. Blackjack Casino (3 pull ticket)

3. Tackle This (3 pull ticket)

4. Primo Casino (3 pull ticket)

Today's date *

YYYY

Your first and last name *

Your email *

Your phone number *

Your FULL shipping address. (Street address, City, State, Zip code)

This must be a Minnesota address as we cannot sell or ship games out of the state!

Your FULL billing address (if different than shipping address)

Again, this must be a Minnesota address!

Are we shipping your order or are you planning to pick it up in person? *

Pick up in person at our Fridley office (7155 Commerce Circle W, Fridley MN, 55432)

We ship Ship Via Spee Dee delivery. The 1st game is $10.00 any additional games are $5 each after that.

How would you like to pay? *

Pay over the phone (using the phone number listed above)

Square - we will send you an email (to the email you listed above) with the invoice which includes the total for games, along with the shipping (if you chose shipping).

Please tell us the name of game(s) and how many you would like? There are 4 games available to choose from:

Silver Dollar Slots (3 pull ticket)

Blackjack Casino (3 pull ticket)

Tackle This (3 pull ticket)

Primo Casino (3 pull ticket)

How did you hear about us?

Google Search

Facebook

Word of Mouth

Previous Customer

Other:

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I understand I am responsible for checking my local/state regulations regarding the use of promotional pulltabs. Pulltabs Plus is not responsible for the legality of use of this product (promotional pulltabs) by any particular user. It is the responsibility of the purchaser to determine for themselves which products are legally permitted in any given locality. By checking this box, you understand: Using Promotional Pulltabs in Minnesota means No Cash exchanges can take place - You cannot sell tickets to players, and you cannot award cash as prizes. The game(s) must be used by the purchaser and cannot be gifted or resold to another individual. *

Check here stating you understand the language above.

Required

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