GET
A 10% SIGN
UP BONUS +
A 10% DEPOSIT
= 20% SIGNUP
BONUS
|
Please
take a few moments to
fill out the free membership
form below.
|
|
Personal
Information |
| *
User ID: |
|
| *
Title: |
|
| * First
Name : |
|
| *
Last Name : |
|
| *
Address : |
|
| |
|
| * City
: |
|
| State
: |
|
| Zip
Code : |
|
| *
Country : |
|
| *
Phone 1: |
|
| *
E-mail : |
|
|
Account
Information |
*Challenge
Question : |
|
*Challenge
Answer : |
|
*Internet
Password : |
|
*Confirm Internet
Password : |
|
*All
New Account Promotions are for
first time clients only,
in case of account duplicity all
promotions will be considered
void.
By hitting the " Submit"
button below you are agreeing
to our terms
& conditions.
| 1.
Limit of one FREE Bonus per
name/household (new customers
only). 2. We reserve
the right to disqualify the
Bonus wager if incomplete
or false information is given
in ANY field on the signup
form.
3. Restriction
deposit and bonus amount needs
to be wagered 15 times. Baccarat,
craps, and roulette excluded.
Sometimes bets placed in Casino City Online are excluded
as well..
4. Must be
18 years or older.
[ * ]
Required. |
-
Your password must be at least eight (8)
characters in length and contain any
combination of numbers (0 to 9) and letters
(a-z, A-Z) but no spaces. Make sure it is
difficult for others to guess! |
| -
Valid phone number characters are 0 to 9
and "-". |
|
