T.A.B. CREDIT CARD TRANSFER APPLICATION

All credit cards must be registered with Stampede Park prior to their use for the transfer of monies to your T.A.B. account. This application must be mailed or presented in person.

T.A.B. Account #_______________________________________________________

Name:________________________________________________________________

Address:______________________________________________________________

City:_________________________________________________________________

Postal Code:___________________________________________________________

Telephone #:___________________________________________________________

In the event that I choose to deposit funds into my T.A.B. account using a credit card, I understand that I am responsible for all charges applicable to the deposit. The two cards that I am limited to for my use are:

VISA #_________________________________ Expire Date____________________

Mastercard #_____________________________ Expire Date____________________

Signature:___________________________________

To make a credit card deposit: Call 1-800-665-2672

Give your T.A.B. account number, credit card account number and credit card expire date to the operator. Minimum transfer $20.00 - maximum $200.00

This service is limited to transfer from your VISA or MASTERCARD account to your T.A.B. account only, and cannot be used for the transfer of funds to a third party.