|
|
Please Fill Out the Form Below to Join E Casino Club!
Thank you for choosing to play at E Casino Club. In order to place wagers for real U.S. dollars, please take a few moments to fill out the membership form below.
By signing up NOW you will receive an additional 20% on your initial deposit!**
Access to those under 18 is prohibited.
User Name:
(min 4 characters, max 15 characters, and is case sensitive)
Password:
(min 6 characters, max 15 characters, and is case sensitive)
Reenter Password:
Please write down your username and password and store it in a safe place. You will be e-mailed a PIN number right away, which is needed in order to withdraw funds. To ensure security, the PIN, username and password are not e-mailed together.
First Name:
Last Name:
Birth-Date:
(MMDDYYYY)
Important: The address below must match the billing address of your credit card or your deposits will be declined.
Street:
City:
Province/State:
Country:
Postal Code/ZIP:
Home Phone No.:
(with Area Code)
Work Phone No.:
(with Area Code)
E-mail:
(required)
Please take a moment to read our Terms & Conditions and our views on Fraud.
By joining E Casino Club you will automatically be subscribed to our newsletter, giving you sports news updates, information about our site, and special offers. You may unsubscribe at any time by returning the newsletter with "Remove" as the subject of the return email.
**Bonus Terms: To receive your 20% bonus just email us at support@ecasinoclub.com with your username and e-mail address. Please include the promo code "NC-0020".
You must wager a minimum of at least ten times the initial deposit plus bonus amount before being eligible to cash out your bonus. Roulette, Craps or SicBo wagers do not count towards your wager requirements. Maximum total bonus $100.
All fields must be filled in correctly. All information is kept strictly confidential. Failure to accurately complete this form may result in the termination of your account.