Access to those under 18 is prohibited.

User Name:

(min 4 characters, max 15 characters, and is case sensitive)

Password:

(min 6 characters, max 15 characters, and is case sensitive)

Reenter Password:

Please write down your username and password and store it in a safe place. You will be e-mailed a PIN number right away, which is needed in order to withdraw funds. To ensure security, the PIN, username and password are not e-mailed together.

First Name:

Last Name:

Birth-Date:

(MMDDYYYY)

Important: The address below must match the billing address of your credit card or your deposits will be declined.

Street:

City:

Province/State:

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Country:

Postal Code/ZIP:

Home Phone No.:

(with Area Code)

Work Phone No.:

(with Area Code)

E-mail:

(required)

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**Bonus Terms: To receive your 20% bonus just email us at support@1luckywager.com with your username and e-mail address. Please include the promo code "NC-0020".
You must wager a minimum of at least ten times the initial deposit plus bonus amount before being eligible to cash out your bonus. Roulette, Craps or SicBo wagers do not count towards your wager requirements. Maximum total bonus $100.

All fields must be filled in correctly. All information is kept strictly confidential. Failure to accurately complete this form may result in the termination of your account.

User Name:

Password: