Section 499a.5. Form of notice of appearance

(a) The form of notice of appearance is as follows:

COMMONWEALTH OF PENNSYLVANIA

BEFORE THE PENNSYLVANIA GAMING
CONTROL BOARD

In the Matter of:

[File, Docket or Other Identifying No.:]

NOTICE OF APPEARANCE

Please enter my appearance in the above designated matter on behalf of

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.

I am authorized to accept service on behalf of said participant in this matter.

[CHECK ONE]

On the basis of this notice, I request a copy of each document hereafter issued by the Board in this matter.

I am already receiving or have access to a copy of each document issued by the Board in this matter and do not on the basis of this notice require an additional copy.

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Signature

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Attorney Identification Number

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Name (Printed)

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P. O. address

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City, state and zip code

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Telephone number (including area code)

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Fax Number (including area code)

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Email address

(b) Subsection (a) supersedes 1 Pa. Code § 31.25 (relating to form of notice of appearance).

Notation

Cross References

This section cited in 58 Pa. Code § 499a.4 (relating to notice of appearance or withdrawal).