Fortune Bay Resort Casino - Casino - Wild Edge Club Contact

Wild Edge Club Application

Join the Wild Edge Club

First Name *
Middle Initial
Last Name *
Address *
Address 2
City *
State/Province *
Zip/Postal code *
Address
Address 2
City
State/Province
Zip/Postal code

What time of year are you at this address?
January	February	March	April
May	June	July	August
September	October	November	December

Phone
Email *
Birthday *
Anniversary Date
Spouse Name

Tell us about yourself
What are your recreational interests?		Fishing
		Boating
		Hunting
		Gaming
		Golfing
		Skiing
		Snowmobiling
		Sports
		Other

What types of entertainment do you enjoy?		Comedy Shows
		Dinner Theater
		Football
		Music Concerts
		Pool
		Other

What types of music do you enjoy?		Country
		Jazz/Blues
		Metal
		Oldies
		Polka
		Rock-n-Roll

Which casino games do you play?		Bingo
		Blackjack
		Progressives
		Pull Tabs
		Slots
		Video Poker

How often do you visit casinos?		Daily
		Weekly
		Two times a month
		Monthly
		Two to six times a year
		Never

* = Required fields