American Hotel Echuca Membership Form

stars + stripes member program

stars + stripes member program

the american hotel echuca is excited to reward our loyal customers. all eligible customers, upon signing will receive $20 american dollars to spend as soon as your card is activated. you will then enjoy 5% discount on all purchases when you present your card and also earn points that you can use when purchasing food and beverage.

other exciting perks include annual birthday bonuses, entry into member prize draws, members only offers, random prizes, exclusive invites and so much more.

First Name *
Last Name *
Date of Birth *
Email Address *
Phone *
Home Address *
City *
State *
Country *
Zipcode/Postcode *

Would you like to register for YourPlay? *YesNoI'm not surePlease contact me with more information

Are you self excluded from Gaming? *Yes I am Self ExcludedNo I am not Self Excluded

YourPlay gives you the power to track how much money and time you are spending as you play. You can also use YourPlay to set limits on the money and time you spend on gaming machines and to see your playing history online at any time. YourPlay can be added to your loyalty membership card and used on any gaming machine in Victoria. You can register for YourPlay at or ask a staff member for assistance

Identification Type *Australian Drivers LicenceProof of Age CardPassportAustralian Learners Permit

Identification Number *
Identification Expiry *
Identification State (I.E. Vic) *

Tick this box please if you do not wish to receive promotional or marketing material that may include alcohol or gaming related activities
No promo please

By selecting this box, I agree that I am over the age of 18 and have received, carefully read and understand the Loyalty Program Rules. I agree to strictly abide by these rules as amended from time to time, and declare that the details in this application
I confirm