We need your postal address so we can send you checks for your winnings. We need your e-mail address to send you the unique PIN Number required for making withdrawls and to quickly inform you of new product developments and other informative gaming news. You will be e-mailed a PIN number right away, which is needed in order to withdraw funds. To ensure security, the PIN, username and password are not emailed together. All fields must be filled in correctly.
All information is kept strictly confidential.
Failure to accurately complete this form may result in the termination of your account.