Horseshoe VIP Club Application

Horseshoe VIP Club Application

Please fill out this application as completely as possible.

First Name*

Last Name*

E-Mail Address*

Country of origin

State/Province

City

Zip/Postal Code

Complete Address

Home Phone

Business Phone

Cell Phone

Fax

Identification

Driver’s License

Which are your favorite casino games?

	Baccarat		Slot Machines
	Pai Gow Poker		Craps
	Video Poker		Roulette
	3 Card Poker		Blackjack
	Caribbean Stud		Hold ’em

Other Game

Which are your favorite hobbies?

	Fishing		Boxing
	Sports betting		Golf
	Table Tournaments

Would you like to apply for credit?

Yes

Enter any additional comments in the following area:


*Required

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