/ / The Remote Gambling Association
31 Southampton Row | London WC1B 5HJ | UK
Tel: +44 (0) 203 585 1241
e-mail:
Brussels Office
Rue du Trône 60 | 1st floor | Brussels 1050 | Belgium
T +32 2 626 95 00 | F +32 2 626 95 01 |

REMOTE GAMBLING ASSOCIATION (RGA)

MEMBERSHIP APPLICATION FORM

This form must be completed by all applicants seeking to become members of RGA. If you have any queries about this form or about membership of the RGA then please contact the Director of Business, Brian Wright on 0203 585 1241

In order to qualify applicants must:

·  Be licensed for gambling activities and operational within the European Economic Area (EEA), the Channel Islands or the Isle of Man. This does not mean that all of the applicant’s gambling activities have to be in these jurisdictions, but at least some must be.

·  In addition, gambling software suppliers will qualify if they are licensed directly or supply their products to at least one remote gambling operator who is licensed and operational in the EEA, Channel Islands or the Isle of Man.

·  Have their applications approved by the RGA’s Executive Committee

·  On being admitted as members, pay the annual subscription fee and commit to paying it in subsequent years (full membership is presently based on a fee of £20,000 per platform, with the two platforms being online betting and online gaming). Software suppliers will pay £20,000 each for membership. Payment is due from the first day of the month on which the member was admitted and must be paid within one calendar month of admittance. The initial fee will be pro-rated on a monthly basis for the period since the last annual subscription was due from existing members.

Applicants should note that:

·  Membership is non-transferable

·  Online gaming counts as a single platform irrespective of how many methods it is delivery by ( e.g internet, interactive TV, mobile etc)

Applicants name ……………………………………………………………

(individual, firm or corporation)

Address or registered office…………………………………………………………..

…………………………………………………………...

……………………………………………………………

……………………………………………………………

……………………………………………………………

Telephone number ……………………………………………………………

e- mail address ……………………………………………………………

Nature of business …………………………………………………………….

(eg sports book, online casino etc)

Number of platforms on which you operate

………………………………………….

(eg telephone betting, online betting, online gaming or software)

Application for: Full membership ………….

Please note that in signing this application you are providing an undertaking that you will comply with and observe the regulations of the RGA if or when admitted to membership.

Signature ………………………………………………………….

(of applicant, director, or

secretary of the corporation

or all of the partners of the

firm as the case may be)