INSTRUCTIONS: ARIZONA APPLICATION FOR SPECIAL BONUS GAME (Form 71-5411) Arizona organizations wishing to organize a special bonus game when operating bingo games must submit a form 71-5411. This application can be obtained from the website of the Arizona Department of Revenue. In order to be eligible to conduct a special bonus game, you must already have obtained a Class B or a Class C bingo license. Note that no more than five special bonus games may be conducted within a quarter and that only one special bonus game may occur on the same respective day of each calendar week. Arizona Application For Special Bonus Game 71-5411 Step 1: On line 1, enter the applicant name and license number if known. Arizona Application For Special Bonus Game 71-5411 Step 2: On line 2, enter the applicant address. Arizona Application For Special Bonus Game 71-5411 Step 3: On line 3, enter the days and times on which the special bonus game will be played. Arizona Application For Special Bonus Game 71-5411 Step 4: On line 4, enter the pattern required to accomplish a bingo. Arizona Application For Special Bonus Game 71-5411 Step 5: On line 5, enter the number of calls within which a bingo must be accomplished. Arizona Application For Special Bonus Game 71-5411 Step 6: On line 6, enter the dollar amount of the designated prize. Arizona Application For Special Bonus Game 71-5411 Step 7: On line 7, enter the type of card which will be used. Arizona Application For Special Bonus Game 71-5411 Step 8: On line 8, enter the cost of the cards to the player. Arizona Application For Special Bonus Game 71-5411 Step 9: On line 9, enter the game number. Arizona Application For Special Bonus Game 71-5411 Step 10: On line 10, explain how much of the $12,000 prize available per quarter will be guaranteed, if any. Arizona Application For Special Bonus Game 71-5411 Step 11: On line 11, describe how the special bonus game program will be administered and the total prize amount which will be offered per quarter. Arizona Application For Special Bonus Game 71-5411 Step 12: On the blank line where indicated, enter your name. Arizona Application For Special Bonus Game 71-5411 Step 13: Sign the form at the bottom right-hand corner where indicated. Arizona Application For Special Bonus Game 71-5411 Step 14: