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Win/Loss Request Form

Click here for your Win/Loss Statement Request Form.  This form may be mailed or faxed to Hollywood Casino Lawrenceburg.  Please fill out the form in its entirety to ensure a speedy response.

777 Hollywood Blvd

Lawrenceburg IN, 47025

Attention:  Club Hollywood

Or you can call (812) 539-6868 and leave a voicemail to request a Win/Loss Statement.  Please remember to leave your full name, birthday, Club Hollywood card number and a telephone number where we can reach you.

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Are you missing out?  Periodically we will send offers to those patrons who have signed up to receive prerecorded messages or who have a valid email address.  Click here to add you phone number or email address and make sure you don't miss out.

Credit Application

Download Credit Application.

Mail completed form to:
777 Hollywood Blvd.
Lawrenceburg, IN 47025
Attention: CREDIT

or Fax completed form to:
(812) 539-6900

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