Please complete the form below and submit it to us to set up your account.

In order for us to Activate your account, we need to verify your age and your state of residency. This is required by Federal and State Laws

Please fax copy of your Social Security Number and your Drivers License

Please note that we verify the information that you submit to us with third party; Equifax, to comply with the Federal and State law. Please note that we DO NOT check your credit ratings.

Once you submit this form, you will be assigned to one of our Customer Service Host, who will work with you to make sure the registration process is a pleasant experience.

To ensure that your privacy is protected at all times, upon verification, you will be sent to a secure location to retrieve your Account Number and enter your PIN number

Enjoy our Service – All our hosts and hostesses are curteous and professional, working hard to provide you the best service.