Jake's Players Club Application

Fill out the form below to apply for our Players Club Card. If you apply for check-cashing privileges, your social security number and valid ID will be verified at our main cage.

Players Club Applicant:
Salutation:
First Name:
Last Name:
Mailing Address:
Apt/Suite:
City:
State:
Zip Code:

Email Address:
Verify Email Address:

Phone Number:
	Example: 775-555-5555
Date of Birth:	/ /
Occupation:

Spouse's Information:
First Name:
Last Name:
Date of Birth:	/ /
Wedding Anniversary:	/ /

- Check box if you have ever had a Jake's Players Club card.

- Check box if you would like a Credit/Check Cashing Application.

- Check box if you wish to receive our electronic newsletter to your email address.

Terms and Conditions:
The Silverado Casino reserves the right to modify or ammend the terms and conditions at any time. For more information be sure to visit our main cage.

- I have read and agree to the terms and conditions.