Coverage Gaurantee Association Image  
   
   
  Pick-A-pocket application  
 
* = Required to obtain a quote/contract.

Click here for application in PDF Format.

* Name of Contact: spacer
* Name of Organization:  
Address:  
City:  
State:  
  Zip:  
* Phone:  
Fax:  
* E-Mail Address:  

How did you hear about CGA?  
*Location of Promotion :  
City:  
State:  
Zip:  
* Prize Value:  
* Number of Bags/Envelopes:   (minimum of 100 envelopes)
* Number of Attempts:  
Description of promotion
(how it works) :
 
 
Call CGA with your promotion details:
800-242-7789/Fax: 574-271-1747 or email: info@cgainc.com

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