Tell Us You Qualified

Please complete the form below to let us know you have completed all of the requirements as displayed on the Free Promotion page.

It can sometimes take a little longer than usual to confirm with the Poker Room that your player account has been tracked and that you are eligible for the free promotion.

Once you complete the form below your details will be saved and checked and we will email you to the email address you provide below as soon as we have confirmed that you have qualified.

Please also ensure you enter the correct and exact shipping information as you will not be able to change this at a later date.

Contact Name:
Poker Room:
Username:
Shipping Address:
Country:
Postal Code:
Shipping Contact Telephone Number:
Shipping Contact Email Address: