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dĞƌŵŝŶĂƚŽƌ^ĂůǀĂƚŝŽŶΡ'ĂŵĞ^ŽĨƚǁĂƌĞŽƉLJƌŝŐŚƚΞϮϬϭϬWůĂLJDĞĐŚĂŶŝdžΡ/ŶĐ͘ůůƌŝŐŚƚƐƌĞƐĞƌǀĞĚ͘
Operator Registration Form
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Before you register games, you must register an operator account!
Operator Name
Company Name
Operator Address
City, State, Zip
Country
Operator Phone
Operator Fax
Operator Email
Contact Preference
Phone
Debit Account On File:
Yes
No (If No, include
Authorization Agreement for
Automated Payments
.)
Mail or fax completed form to
WůĂLJDĞĐŚĂŶŝdžΡ
800 Roosevelt Road, Suite D-103, Glen Ellyn, IL 60137
Phone (630) 942-1070
Fax (630) 942-1073
Fax (630) 348-2099
For processing, allow 2 to 5 business days.
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ĨƚĞƌWůĂLJDĞĐŚĂŶŝdžΡƌĞĐĞŝǀĞƐLJŽƵƌƌĞŐŝƐƚƌĂƚŝŽŶ͕ůŽŐŝŶŝŶĨŽƌŵĂƚŝŽŶĨŽƌLJŽƵƌĂĐĐŽƵŶƚƐ
will be mailed.
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To register games online, manually log in with your operator number and PIN.
x
www.coinup.com
, use your email address and password.
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After you receive your login information, you can change it through your Web account. To change your
account information, use the My Profile tab.