Revenue Share ApplicationPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Location NameFull Address *Owner Phone Number *Location Phone Number *Are Network Drops Preinstalled at Game Bank Locations? *NoYesAre Network Drops Labeled, Terminated, & Tested at Each End?NoYesName of Internet Provider *Internet Provider Account Number *Please Provide all Static Ip Information (static ip range, subnet, gateway ip, dns1, & dns2) *Amp Rating of Each Dedicated Circuit Breaker *Is Power Provided at POS/ Guest Services Area? *NoYesSubmit