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Aristocrat - Bally - IGT - Konami - Williams- -Email Request

Email Chip Approval Request from Website

Name of Requesting Person (required):

eMail Address (required):

Name of Venue (required):

Manufacturer:

Model:

Theme Name:

Theme Chip Number (required):

OS Chip Number (required):

Jurisdiction Chip Number (required):

BIOS Chip Number (required):