CVI Properties (4) Win/Loss

Win/Loss Request
Check all properties at which you played and for which you would like a Win/Loss Report:*

Carson Valley InnBodines CasinoSharkey's CasinoSlotWorld Casino
Please select a year that you'd like your Win/Loss statement for:*

2021202220232024
Name*

First NameLast Name
Player ID*
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Preferred Delivery Method*

Postal ServicePick-up at Cage
Phone Number*
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature*

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By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.*

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Win/Loss Request