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Phone:    812-936-9300
Fax:          812-936-2100
8670 West State Road 56
French Lick, Indiana 47432

1-888 MY HIDEAWAY
(1-888-694-4332)

 

Click below to open a Win/Loss Request Form. You must have Acrobat Reader to view this form (Free Acrobat reader allows you to view, navigate and print pdf files. Downloadable for Windows, Macintosh, and Unix.) If you don’t have Acrobat reader, click here to download for free.



Getting a Win/Loss Statement is as easy as 1, 2, 3, & 4.

  1. Open the form
  2. Print the form
  3. Fill out the form
  4. Mail the form












 

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