Slots Of Vegas Authorization Form



Enjoy playing the best casino games! Online casino authorization forms are time consuming to fill out, but in the end, they're meant for your and the casino's protection. The Purpose of Online Casino Authorization Forms The necessity of online casino authorization forms is crucial, especially in today's day and age where scammers are plentiful.

Slots of Vegas offer several forms of popular banking methods. This is to make sure your overall experience is easy, smooth and efficient while you play slots online for real money! You can deposit using credit cards like Visa and MasterCard, wire transfers, checks, and even bitcoin. Withdrawing funds is just as easy!

Personal Information:

Full Name:
Address:
City:State:
ZIP Code:Date of Birth(MM DD YYYY)
Day Phone:Evening Phone:

Wild Vegas Casino Group - Account Information:

Slots Of Vegas Authorization Form

If you have any accounts with our sister casinos, you can speed up future withdrawals by submitting your account name now.

WebsiteUsernameWebsiteUsername
Club PlayerRuby Slots
CoolCatSlots of Vegas
DreamsVegas Strip
Palace of ChanceVirtual
PrismWild Vegas

Credit Card Information:

Please enter the details of all credit cards you have used or intend to use at the casino.

Enter the first 8 and last 4 digits of your card in the spaces provided.

Card NumberExp. Date (MM/YYYY)
- -XXXX --
- -XXXX --
- -XXXX --
- -XXXX --

Slots Of Vegas Authorization Form 2020

Return with Copies of Your Credit Cards (Front & Back)

  • Scan or take a digital picture of your valid State or Federal ID (i.e. Driver's License or Government Issued ID) along with the credit cards you have used, or plan to use, with our clients (front and back of all cards, including ID's is required).
  • We will also require a recent utility bill with your printed address on it.
  • Email all of these copies back, along with this signed form, as soon as possible. You can email copies to documents@wildvegascasino.com

For more information on how your purchases will appear on your credit card statement, please feel free to send us an email or contact us via our Live Casino Support.

Slots Of Vegas Authorization Form Fillable

I Certify...

I certify that the electronic media record of my transaction held by the Wild Vegas Casino GROUP shall be used as the final determination to resolve any dispute I may have. I acknowledge that I have read all the information contained in the Wild Vegas Casino GROUP License and agree to abide by all the rules, terms, conditions and agreements therein and as may be amended from time to time.

I also certify that the credit cards listed above have been registered with the Wild Vegas Casino GROUP and used there with my full knowledge and consent.

Signature: __________________________________________

Slots Of Vegas Credit Card Authorization Form

Date: / /

Slots Of Vegas Authorization Form

Please scan and email the signed and completed form to documents@wildvegascasino.com