Gala Casinos Membership Application

Welcome to Gala Casinos. Before you can start enjoying the world of Gala Casinos we need you to fill out this form. Don't worry, it'll only take a minute and then you'll be ready to experience all the excitement Gala Casinos has to offer. Enjoy.

Please bring your passport, driving licence or credit/debit card supported by two household bills with you for identification purposes when you join. We would like to assure you that any information you give to us stays with us. We'll never pass on any of your details to anyone else.

All blue fields are mandatory

Casino:

Select the name of the Gala Casino you are wishing to join:
- - - Select Casino - - - North East Bradford Hull Leeds Stockton-on-Tees Sunderland North West Liverpool Stockport Central Birmingham Leicester Northampton (Regent Street) Northampton (Sol Central) Nottingham (Bridlesmithgate) Nottingham (M. Marian Way) Wolverhampton South East Bournemouth South West Bristol (Harbourside) Bristol (Redcliffe Way) London Baker Street Piccadilly Queensway Russell Square Tottenham Court Road Wales Cardiff Scotland Aberdeen Dundee Edinburgh Glasgow (Merchant City) Glasgow (Riverboat) Glasgow (Rotunda)

Personal Information:

Address:

House name/no:

Street:

Town:

County:

Postcode:

Contact Information:

Mobile:

Tel Home:

Tel Work:

Email:

Date of Birth

Day (DD) Month Year (YYYY)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December

Promotions

In a constant effort to make your Gala Casinos membership even more exciting, we occasionally arrange special promotions, gifts and events that we're sure you would enjoy. Please indicate how you would like to be contacted.

Mail

Telephone

Text/SMS

Email

Age Verification

I hereby apply for membership of the casino and give notice that I wish to participate in Gaming.
I am over 18 years old.

To be signed on arrival at the casino!

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