Please send E-Mail to: gaming@casinocom.com and request Printable PDF Document of the file shown above.
Please Email in PDF Format or Fax the Completed and
Notarized Form, along with a SIGNED AND COMPLETED PAGE Two(2), & a Photo Copy of
Your Drivers License or Passport Page with your identification shown clearly to
877-488-5494,
and Mail The Original Completed Hard Copy of BOTH FORMS & PHOTO COPIES To:
Jack Benson, PO Box 570665, Las Vegas, NEVADA
89157-0665
Printable Adobe PDF Document of the above
form located at:
You must complete Page Two of this form.
