Worldwide Gaming's Distributors Signup

Welcome Wholesale Distributor! Please fill out this entire application. When it is complete,
one of our staff will review it and contact you with a password to login to our Members area.

Please remember to fax your Gaming License and DOJ (If you are required to have one).
Our fax number is 763-253-0232. 

Your  Full Name

Email Address

Company Name

Tax ID #

# Of Employees

Mailing Address

Phone Number

Fax Number

Web Address

What is your primary interest in Signing up?


Have you purchased equipment from us before?