Gaming Operators Membership Form

• Name of Company *
• Company Description *
  0/150
• Company Website URL
• Address *
• Phone Number *
• Billing Name *
  First Name Last Name
• Title or position *
• E-mail *

• Annual Fee-CDN Dollars	Basis of Dues - Global Gross Gaming Revenue
  $50,000	Greater Than $1 Billion	Includes: Licensed online and land based gaming operators
  $40,000	$500 Million to $999 Million
  $30,000	$250 Million to $499 Million
  $25,000	Less Than $250 Million

• SUBMIT
• Should be Empty:

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