| Simple Fax to Increase your Depositing Limits
Please print and fax to: Roxy Palace, along with proof of identity, copies of your
credit cards (front and back)
International Fax number: + 1-416-352-0119
Toll Free Fax Number (US Residents only): 1-888-380-3318
Toll Free Fax Number (UK Residents only): 020-7900-1529
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| Member Name & Surname |
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| Casino Account number |
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| Address |
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| E-Mail address |
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I request my credit card limit is increased according to the amounts described here.
| Credit Card 1 |
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| Credit Card Number |
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| Expiry date |
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| Please increase my daily limit to $/£/€ |
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| and/or my monthly limit to $/£/€ |
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| Credit Card 2 |
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| Credit Card Number |
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| Expiry date |
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| Please increase my daily limit to $/£/€ |
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| and/or my monthly limit to $/£/€ |
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I understand www.proccyber.com, NCryptSolutions/Roxy or roxypalace.com will be the name that will appear on my credit/debit card statement.
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| Signature |
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