Club Wyandotte Membership Application

Stop by the Club Wyandotte Booth on your next visit to Wyandotte Casino and pick up your card. Just let the Club Wyandotte representative know that you enrolled online, and they will have your card ready so you can get playing.

* Must be 18 years or older to apply for membership.

* First Name

* Last Name

* Primary Address HomeAlternate

* Home Address

* City

* State

* Zip

* Country

Alternate Address

City

State

Zip

Country

* Residence Phone

Alternate Phone

* Birthday

Wedding Anniversary

* Email

* I would like to receive email communications from Wyandotte Nation Casino. YesNo

* Gender MaleFemale

* Marital Status SingleMarriedOther

* Send Mail To Home AddressAlternate AddressNo Mail

Which of these casinos do you visit most often? BordertownHigh Winds
Buffalo RunGrand Lake Casino
StablesOther (name below)

* How did you hear about us?

* - Required