Account Application & Registration Form

Company Information
Preferred Account Name
Full Trading Name
Company Registration Number
Contact Name
Contact Phone Number
Contact Email Address
Address for invoicing
 
Registered Office Address (if different from above)
 
Postcode for MGD (Machine Gaming Duty) Registration

If you have registered for MGD, please provide the postcode used on the registration

 
Any other relevant information
 
Would you consider yourself a lobbyist
Are you an Advocate
 
1st Trade Reference
Telephone Number
Email Address
 
2nd Trade Reference
Telephone Number
Email Address
 
3rd Trade Reference
Telephone Number
Email Address
 
Consent
I/We (Name)
(Position)
 

By clicking Register you consent to SG Gaming obtaining references using the information detailed above, and you accept SG Gaming Terms & Condition of Sale. SG Gaming will process any personal information provided in accordance with its Privacy Policy.