Coverage Gaurantee Association Image  
   
   
  Scratch card application  
 
* = Required to obtain a quote/contract.

Click here for application in PDF Format.

* First Name: spacer
* Last Name:  
* Name of Company:  
Address:  
City:  
State:  
  Zip:  
* Phone:  
Fax:  
* E-Mail Address:  

How did you hear about CGA?  
Start Date of Promotion:  
End Date of Promotion:  
* Prize Value:  
* Number of cards desired:  
Held at:  
Shipping Location of Cards:  
Desired Style of Cards::   Diamonds In The Rough
Needle In The Haystack
 
Call CGA with your promotion details:
800-242-7789/Fax: 574-271-1747 or email: info@cgainc.com

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