Register Establishment

Establishment Type:

Smoking Status:

General Information:

Contact Information:

Gaming Details:

Establishment Minimum(s):

This refers to the establishment‘s lowest table game minimum(s):

(Game specific bets: "straight up bets" "side bets" and "hop bets", are recorded in another form)

Highest Minimum: Refers to when the ”Lowest Minimum“ is raised.

Please check any/all conditions that result in higher minimum:

Gambling Hours:

Table Game Hours:

Additional Details:

Your Email:

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