Transporting gambling equipment in Washington State for trade shows

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Name of the tradeshow:

Physical address of tradeshow:

Dates of tradeshow:

Start Date

End Date

Equipment quantity:

Gambling activity type:

Yes

No

Equipment manufacturer:

Equipment manufacturer's license number:

Equipment model name and version number:

Name of person responsible for equipment:

Name of licensed manufacturer/distributor transporting the equipment into Washington:

License number of manufacturer/distributor transporting the equipment into Washington:

Phone number:

Email (optional)

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