Signup Form

Registration

You've made the right choice. Lucky99 offers the most options for all your gaming needs. Please take a moment to complete the short form below. Make sure to use valid information as certain personal details CANNOT be later updated. Once registered, you will receive your Lucky99 user ID via email. All information is kept strictly confidential. For more information please contact our Live Chat.

Fields with a * are required. All information is kept strictly confidential.

Please fill out registration form:
First Name:		* Required field
Last Name:		* Required field
Address1:		* Required field
Address2:
Country:		* Required field
State:		* Required field
City:		* Required field
Zip:		* US/CA only Required field
Postal Code:		* US/CA only Required field
Phone:	✓ Valid	* Required field
Email:		* (40 characters max) Required field
Re-Enter Email:		* (40 characters max) Required field
How did you hear?:		* Required field
Password:		* Required field
Re-Enter Password:		* Required field
Re-Enter Password:		* Required field
PIN:		* (4 characters max) Required field
Re-Enter PIN:		* (4 characters max) Required field
	I confirm that I am at least 18 years old. * Required field
	I accept and agree the Rules and Policies as published on this site. * Required field
	* Both check boxes are required to create an account
	I would like to receive information about Lucky99's offers and promotions.

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