PETITION ON LOCAL OPTION ELECTION
RESPECTING THE CONDUCT OF BINGO AND SUPER BINGO GAMES FOR CHARITABLE PURPOSES IN _______________ COUNTY WEST VIRGINIA
Each of undersigned certifies that he or she is a person residing in ___________________ county, West Virginia, and is duly qualified to vote in that county under the laws of the state, and that his or her name, address, and the date of signing this petition are correctly set forth below.
The undersigned petition the county commission to call and hold a local option election at:
NAME ADDRESS DATE
_____________ (Each person signing must specify either his post office address or his street number).
At least ten percent (10%) of the persons qualified to vote within the county shall sign this petition before the election may be called.
"Shall the playing of bingo to raise money for charitable or public service organizations continue in effect in ____________ county of West Virginia? (Place a cross mark in the square opposite your choice)." Yes No
W. Va. Code R. § 110-16-27