If you’re interested in becoming a customer of Casino Junket Club, please complete the following form.

    Your First Name (required)

    Your Last Name (required)

    Your Address (required)

    City (required)

    State (required)

    Zip Code (required)

    Your Date of Birth (required)

    Your Cell Phone (required)

    Your E-mail (required)

    Referred By

    1. How many times a year do you go to the casino?

    2. What games do you play?

    3. Are you a total rewards player with Harrah’s entertainment?

    If Yes, Please enter your total rewards player number.

    4. Sign me up to receive the CJC Upcoming Trips and Events Newsletter.

    Please type the letters and numbers in the field below