Registration Form

User login registration form used to capture the users demographics to make the booking workflow easier.

"*" indicates required fields

Step 1 of 5

20%

Username

Name*

First

Email*

Password*

Strength indicator

Gender*

Date of Birth

MM slash DD slash YYYY

Phone*

Street Address*

Town / City*

State / County*

Postcode / ZIP*

Citizenship*

Add Cruise Companion

Max. file size: 100 MB.

Preferred Casino Partner

Preferred Departue Port

Preferred Cabin Type

Current Casino Loyalty

Preferred Casino Games

Frequency of Casino Visits

Average Gambling Spend/Daily

Preferred Destinations

Travel Frequency

Anniversary Date

MM slash DD slash YYYY

Special Occasions Dates

MM slash DD slash YYYY

Dining Preferences

Entertainment Preferences

Communication Preferences

Language Preference

Social Media Handles

Referral Source

Allergies or Dietary Restrictions

Accessibility Needs

Gaming Skill Level*

By pressing SUBMIT you accept Terms & Conditions & Privacy Policy

Upload Your Latest Casino Offers

Drop files here or

Max. file size: 1 GB.

Registration Form

"*" indicates required fields

Step 1 of 5

20%

Username

Name*

First

Email*

Password*

Strength indicator

Gender*

Date of Birth

MM slash DD slash YYYY

Phone*

Street Address*

Town / City*

State / County*

Postcode / ZIP*

Citizenship*

Add Cruise Companion

Max. file size: 100 MB.

Preferred Casino Partner

Preferred Departue Port

Preferred Cabin Type

Current Casino Loyalty

Preferred Casino Games

Frequency of Casino Visits

Average Gambling Spend/Daily

Preferred Destinations

Travel Frequency

Anniversary Date

MM slash DD slash YYYY

Special Occasions Dates

MM slash DD slash YYYY

Dining Preferences

Entertainment Preferences

Communication Preferences

Language Preference

Social Media Handles

Referral Source

Allergies or Dietary Restrictions

Accessibility Needs

Gaming Skill Level*

By pressing SUBMIT you accept Terms & Conditions & Privacy Policy

Upload Your Latest Casino Offers

Drop files here or

Max. file size: 1 GB.

Log In

Email Address(Required)

Password(Required)

Forgot your Password?

Forget Password

Email Address(Required)

Back to Log In

Casino Independent Representative Application Form

Step 1 of 5

20%

Personal Information

Full Name(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Gender(Required)

Address(Required)

City(Required)

State(Required)

ZIP Code

Country

Email Address(Required)

Phone Number(Required)

Language Spoken

Are you legally eligible to work in the countries where COMP MY CASINO CRUISE operates?(Required)

Yes

Professional Background

Do you have prior experience as a Casino Independent Representative?(Required)

Yes

If yes, please provide details

Have you worked in the casino or hospitality industry?

Yes

If yes, please provide details:

Do you have any relevant certifications or training?

Yes

If yes, please specify:

Marketing and Networking

Describe your current network and connections that could be valuable for promoting(Required)

How do you plan to market and attract potential customers to COMP MY CASINO CRUISE?(Required)

Business Proposal

Provide a brief outline how you intend to generate business and contribute to the growth of COMP MY CASINO CRUISE as an Independent Representative

Terms and Conditions

Terms and Conditions(Required)

I hereby certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in the rejection of my application or termination of my agreement with COMP MY CASINO CRUISE. If selected, I agree to abide by the terms and conditions set forth by COMP MY CASINO CRUISE for Independent Representatives.

Signature

Date

MM slash DD slash YYYY

For inquiries or assistance, please contact (855) 226-6763 or marketing@compmycasinocruise.com

Registration Form

© Copyright Comp My Casino Cruise. All Rights Reserved.

Registration Form

Log In

Forget Password

Casino Independent Representative Application Form

Personal Information

Professional Background

Marketing and Networking

Business Proposal

Terms and Conditions