Please fill out the form below completely and click the submit button.

First Name
Last Name

Primary Address:

Street
City

Zip

Secondary Address (Optional):

Street
City

Zip


Phone
Email
Date of Birth
Anniversary Date
Guest Account #

Language Preference:    English Español

 
   
 
   

HOME    GAMING    PROMOTIONS    EVENTS    DINING    PLAYERS CLUB    DIRECTIONS    TRIBAL    EMPLOYMENT    CONTACT

Augustine Casino (760) 391-9500 • www.augustinecasino.com • 84-001 Avenue 54, Coachella, CA 92236
Must be 21 to enter casino. Must be Players Club member to participate in promotions. Membership is FREE.