DEBIT CARD REQUEST FORM
Please fill out all fields below (incomplete forms will not be processed)
BetJamaica Acct. #
Email Address:
First Name:
(as it appears on Driver’s License):
Last Name:
(as it appears on Driver’s License
Title:
Mr.
Mrs.
Miss
Ms.
Street Address:
Important
: must
Match
address on Driver’s License):
City:
State /Providence:
Zip:
Country:
Phone #:
DOB:
(Format: MM/DD/YYYY)
Gender:
Male
Female
Drivers license#:
*Required*
License Issue State:
*Required*
$35 for express delivery (7-8 days)
PLEASE NOTE: A valid Driver’s License must be faxed to 1-800-507-6518 along with the mailing address form. No applications will be approved or cards processed until legible faxed photocopy has been received.
Your request will be processed upon receipt by
Banking@BetJM.com
Debit Card processing hours: 8:00 am - 12:00 pm Monday thru Friday
Fax ID copy to 1-800-507-6518 or
scan and email to banking@betjm.com