INSTRUCTIONS: ARIZONA APPLICATION FOR SPECIAL BONUS GAME (Form 71-5411)

In Arizona, a form 71-5411 is used to request permission to conduct a special bonus game when administering bingo games. This document can be obtained from the website of the Arizona Department of Revenue.

Arizona Application For Special Bonus Game 71-5411 Step 1: On line 1, enter your name and license number, if known.

Arizona Application For Special Bonus Game 71-5411 Step 2: On line 2, enter your address.

Arizona Application For Special Bonus Game 71-5411 Step 3: On line 3, enter the days and times of the week during which special bonus games will be played.

Arizona Application For Special Bonus Game 71-5411 Step 4: On line 4, enter the pattern required to accomplish 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 amount of the designated prize.

Arizona Application For Special Bonus Game 71-5411 Step 7: On line 7, enter the type of card to be used.

Arizona Application For Special Bonus Game 71-5411 Step 8: On line 8, enter the cost of a card 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, enter how much of the $12,000 prize amount available in the 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 conducted and the total prize amount offered per quarter.

Arizona Application For Special Bonus Game 71-5411 Step 12: On the next blank line, enter your name.

Arizona Application For Special Bonus Game 71-5411 Step 13: On the last blank line, enter your signature.

Arizona Application For Special Bonus Game 71-5411 Step 14: Mail the form to the Arizona Department of Revenue, whose website can be obtained from their address.

Arizona Application For Special Bonus Game 71-5411 Step 15: Approval of your application expires at the end of each licensing period. It must be renewed prior to that time in order to allow the continuance of special bonus games.