Date:_________ /__________ /__________
As primary cardholder I,
First name:______________________________ Last name: ________________________
Authorize BetCascade.com to charge the following credit card and to keep my signature on file.
Credit Card # _________-_________-_________-_________
Exp. Date:_______ /_______
Full name as it appears on the card: ______________________________________________
Issuing bank for the card: _____________________________________________________
Billing address for my credit card statements: _______________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
My phone number the bank has on file: ____________________________________________
Signature: ____________________________________
Instructions:
Please fax back to BetCascade.com Sportsbook at 1-800-520-1811 or email it to csd@betcascade.com.
Include copies of the front and back of your credit card and a valid drivers license or passport.
Thank you,
BetCascade.com Customer Service Department