RENTACASINO.NET® P.O. Box 335 Newton, MA 02464 T: 617-828-2313 F: 801-457-5221 em: ceo@rentacasino.net

Rentacasino.net Dealer Application

NAME:

FIRST:

LAST:

ADDRESS:

STREET, CITY, STATE, ZIP & APT#:

SOCIAL SECURITY#:

TELEPHONE HOME:

CELL PHONE:

EMAIL ADDRESS PRIMARY:

EMAIL ADDRESS 2NDARY:

DEALER SKILLS:

BlackJack

Texas Hold Em

Roulette

Craps

Caribbean Stud

Baccarat

Pai Gow

7 Card Stud

3 Card Poker

Red Dog

Let It Ride

Omaha

High Low

Money Wheel, Wheel of Fortune, Big Six

Other: Separate with commas

I am interested in other jobs such as bartending. I am:

Barcode Certified Tips Certified

Birthdate (MM/DD/YR)

I have a car:

Yes No

UNIFORMS:

I have a black evening cocktail dress: YES NO

I have: Wing Tip Collar Tux Shirt: YES NO

I have: Black bow tie, black pants, black shoes, black socks black vest: YES NO

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