| Instructions
Fill out the form below completely, then using your browser’s File|Print menu option, print the form. Bring it to the Bingo Club booth at Oneida Bingo & Casino and join the club! BINGO CLUB APPLICATION & ENROLLMENT FORM |
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| Today’s Date: | Friday February 14, 2003 | ||
| Social Security Number: | |||
| Phone Number: | |||
| Last Name: | First Name and Middle Initial: | ||
| Address: | Apt #: | ||
| City: | State: | ||
| Zip Code: | |||
| Birthdate: | |||
| Other ID (optional): | |||
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