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Casino Partner Listing Application

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Member's Details

"*" indicates required fields

Contact Information:

Name of the Casino*

Contact Person's Name*

Email Address*

Phone Number

Address of the Casino's Headquarters or Main Office*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Basic Details About the Casino:

Date of Establishment*

MM slash DD slash YYYY

Legal Entity

Casino is Licensed to Operate*

Website URL*

Licensing and Regulatory Information:

Details of the casino's current gambling license(s)*

Regulatory authority under which the casino operates*

Any additional certifications or accreditations held by the casino

Gaming Software Providers:

List of gaming software providers used by the casino*

Security Measures:

Description of the casino's security protocols and measures to protect player data and transactions

Information about encryption technology used to secure the website

Fair Gaming Practices:

Details of the casino's commitment to fair gaming, including the use of certified random number generators (RNGs) and adherence to fair play standards

Responsible Gaming Policies:

Are there deposit limits in place*

Yes

No

Explain

Are there loss limits in place?*

Yes

No

Explain

Reality Checks*

Yes

No

Explain

Time-Outs and Self-Exclusion*

Yes

No

Explain

Support Resources

Measures of Underage Gambling

What is the minimum age to play at your casino?

Are you displaying gambling addiction help information?

Customer Support:

Availability and responsiveness of customer support channels

Live Chat

Email

Phone

Chat Text

Email Text

Phone Text

Marketing and Advertising Practices:

Advertising Standards*

Spam policy

Bonus Terms and Conditions

Monitoring and Reporting Mechanisms

Complaint Resolution

Complaints are resolved within

24 Hours

48 Hours

72 Hours

Privacy Policy

General terms and conditions

Previous Endorsements or Awards:

Previous Endorsements

Previous Awards

Industry Organizations

Select Membership Plan*

Do you have a promo code?

Total

Credit Card

Price Information for Badge Issuance:*

Agreement to comply with our T&Cs

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