Sportsbook

Casino

Horse Races

Promotions

User ID  :
Password  :

Credit Card Authorization Form

Dear Valued Customer: Please print, and complete, the authorization form as you have been instructed to by your Customer Service Representative. Once you have completed the form(s), please fax it, or scan and email it, back to us along with a photo copy of your identification and the front and back of your credit card. The fax number is located on the top of the authorization form. Thank you for your cooperation. Your business is greatly appreciated. Download/View the form in Acrobat format Download/View the form in Flash format Form Formats If you don't have Acrobat Reader 5.0 or above please click here If you don't have Flash Player 6.0 or above please click here