Bingo App

Instructions

Fill out the form below completely, then using your browser’s File|Print menu option, print the form. Bring it to the Bingo Club booth at Oneida Bingo & Casino and join the club!


BINGO CLUB APPLICATION & ENROLLMENT FORM
(Picture Identification Required)

Today’s Date: Friday February 14, 2003
Social Security Number:
Phone Number:
Last Name: First Name and Middle Initial:
Address: Apt #:
City: State:
Zip Code:
Birthdate:
Other ID (optional):