Fax Back Form

In order to deliver secure Online Gaming entertainment VIP Club Casino will need a customer who requests a withdrawal of winnings, to supply a signed and completed Fax Back Form. The purpose of this form is for our mutual protection and online security.

Our Fax numbers:

US toll free: Fax: +1866 356 2549

We have a toll-free fax number (1 866 356 2549) but if you need to send documents it is best to email them to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

A "Fax Back Form" is a way for VIP Club Casino and our Payment Processing companies to verify your personal and financial details provided upon account creation. By filling out and returning the form, VIP Club Casino will be able to guarantee hassle-free operation of you account.

This information will not be required if a player has deposited exclusively via eWalletXpress, UseMyWallet, NETeller, MoneyBookers, EcoCard or Click2Pay.

Together with the Faxback form we require:

Together with the Faxback form we require:
• A scan or clear copies of the front and back of a government issued photo ID that confirms your registered account information, including your age and address.
• A scan or clear copies of one of utility bill, credit card bill, or bank statement no more than 2 months old that confirms your name and address.
• A scan or clear copies of the front and back of any credit/debit card(s) used to deposit on your account.

This information will remain with us in strictest confidence and will allow us to issue withdrawals in the safest and quickest possible manner.

If our Security and Payments Department consider it necessary for you to provide a Faxback Form, they will send you an email containing the form itself and listing all additional documents that you will need to attach. You will only be required to send the faxback form once.