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ESTIMATED WIN/LOSS STATEMENT REQUEST FORM

ESTIMATED WIN/LOSS STATEMENT REQUEST FORM

www.aquariuscasinoresort.com

Aquarius Casino & Resort ESTIMATED WIN/LOSS STATEMENT REQUEST FORM True Rewards™ Number Social Security Number Date of Birth Address Apt # City State Zip (Area code) Telephone Email Address I hereby request that the property provide me with an estimated win/loss statement for the calendar year(s) of .

  Roster, Casinos, Casino amp resort

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