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Scratch Card Order Form

Please print and complete the "Scratch Card Order Form" below and then Fax it to us at 1-610-965-4342.  We will contact you if additional information is needed.

Be sure to sign the form on the "Signature" line, include your credt card information and discount your total cost by 5%.


SCRATCH CARD ORDER FORM


(You can download a free version of Adobe Reader here to view and print this Order Form.)

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