You may apply over the phone and make the deposit with a credit card, but you will need to FAX back a form that will require the information listed below along with a copy of your driver's license. This is because we require a signature to process the request. Call 1-888-FUN2BET Name: Address: Address 2: City: State: Zip: Phone Number: Fax Number: Email Address: Enclose a check or money order: Surcharge Account No-Surcharge Account (include $300 escrow) Please choose a 4 digit pin number(#'s only): Please choose a code word (up to 10 letters, no numerals): Social Security Number: I would like to reserve my personal wagering terminal I would not like to reserve my personal wagering terminal at this time. Only open a telebetting account. "I am over 18 years of age and not an employee of any Off Track Betting Corporation" Signature required:__________________ Prohibition or limitations for residents of certain states may apply. Back to top Interbets.com reminds you to bet with your head... not over it. If you think you may have a gambling problem, call 1-800-522-4700 for help. Site Feedback/Support  |  Wagering Support  |  Legal Disclaimer Copyright 2005, Catskill Off Track Betting Corp.