BETGOLD PTY LTD (ABN 38 161 782 494)

PO BOX 6206 GOLD COAST MAIL CENTRE QLD 9726

APPLICATION TO OPEN A BETTING ACCOUNT

On receipt of your application, BetGold will contact you for additional information and complete processing the application.

TERMS AND CONDITIONS

I confirm I have read and understood the Terms and Conditions of opening and operating a betting account with BetGold Pty Ltd.

If you prefer, you can print this form, complete it by hand, and post it to PO Box 6206 Gold Coast Mail Centre QLD 9726