Vendor Application – Casino Queen

The Casino Queen is always looking for the highest quality vendors. If your company is interested in becoming a vendor for the Casino Queen, please fill out the form below.

Contact Name*
Company Name*
Address*
Street Address Address Line 2 City State ZIP Code
Minority Owned*
- Yes
- No
Woman Owned?*
- Yes
- No
Disability?*
- Yes
- No
Casino Reference*
- Yes
- No
Vendor Type
Additional Comments
Comments
This field is for validation purposes and should be left unchanged.

Any personal information collected will be kept confidential. Please refer to the Casino Queen Privacy Policy for more information.