Join Us

Are you interested in becoming a Trillian Trust site?

Simply complete this form and one of our representatives will contact you soon.

1.   Your Name:
2.   Site Name:
3.   Address:   (Street)

   (Suburb)

   (City)
4.   Do you currently have gaming machines?   (if no, go to question 8)
5.   How many machines?
6.   Average weekly banking last 8 weeks?
7.   Which Society owns the machines at your site?
8.   Contact Telephone Number:   (xx) xxx xxxx
9.   Facsimile Number:   (xx) xxx xxxx
10. Email address:



 

Trillian Trust Inc. Serious about your Community