123 Bingo Online - Credit Card Agreement Form

Personal Information

Card Information

Legal Statement

I certify that the electronic media record of my transaction held by 123 Bingo Online shall be used as the final determination to resolve any dispute I may have. I acknowledge that I have read all the information contained in the EMONEY PROCESSING LTD License and agree to abide by all the rules, terms, conditions and agreements therein and as may be amended from time to time.

I also certify that the credit cards listed above have been registered with 123 Bingo Online and used there with my full knowledge and consent.

Return this completed and signed form to us along with a visible copy of your driver's license or other form of official photo I.D. as well as a copy of each credit card used and a utility bill or bank statement with your printed address on.

We will accept scanned copies or digital photograph of these documents. You can email them to us on below email addresses.

Email: [email protected] and CC: documents[email protected]

If you have any questions or concerns regarding how your credit card billing will appear, please feel free to send us an email or contact us to our Customer Service Live Help.

 

Make an imprint of your embossed credit card

1. Place card under the authorization form
2. Rub pencil very light over the card
3. Ensure that name, number, and expiration date are clear and readable.
 

Make an imprint of your embossed credit card

1. Place card under the authorization form
2. Rub pencil very light over the card
3. Ensure that name, number, and expiration date are clear and readable.