Mega Dollar Games

To play for FREE or for Cash Prizes, this form must be completed accurately. The information on this form will be used to notify you of your winnings, promotions, playoff tournament dates, etc. Inaccurate or false information will disqualify you.

Your Registration Information is held in the strictest of confidence. will never sell your personal information to third parties.


STEP 1: Login Information
Email Address
Password
Confirm Password
STEP 2: Name As It Should Appear On Your Checks
First Name
Last Name
STEP 3: Address We Should Ship Your Winnings and Prizes
Street Address
Address Cont
City
State or Province
Zip / Postal Code
Country
Gender
Date of Birth	/ / mm dd yyyy
Phone	( ) -


	Check to confirm that you do not have another Mega Dollar Games account, and have read, understand and agree to Mega Dollar Games' Terms & Conditions.