DEBIT CARD REQUEST FORM
Please fill out all fields below (incomplete forms will not be processed)
IMPORTANT...All information must match your Drivers License.
BetJamaica Acct. #
Email Address:
First Name:
Last Name:
Title:
Mr.
Mrs.
Miss
Ms.
DOB:
(Format:MM/DD/YYYY)
Street Address:
City:
State or Providence:
Zipcode:
Country:
Phone #:
Drivers License#:
License Issue State:
Gender:
Male
Female
Shipping:
$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.
To be eligible for the BetJM transfer card the following is required;
1.At least $1000 in historic wagering action
2.Must be an active member for at least 60 days.
3.Must have to have made two deposits and one withdrawal prior to requesting the transfer card.