Become a member of the Club through our convenient on-line application form below.
For more information on membership and benefits, stop by the
Diamond Club in the casino.


First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
Home Phone:*
Work Phone:
Date of Birth:*
 (mm/dd/yyyy)
Email:
Spouse's Name:
Anniversary Date:
 (mm/dd/yyyy)
Spouse's Date of Birth:
 (mm/dd/yyyy)
Spouse's email:

1.How did you hear about us?
Billboard Hotel Radio TV
Day Bus Trip Newspaper other
2. What sports activities are you interested in?
Baseball Boxing Football Golf
Basketball Fishing other
3.What kind of music are you interested in?
Big Band Classical Jazz Pop/Top40
Blues Country-Western Rock&Roll  
4. What kind of prize/merchandise do you prefer?
Cash Diamond Jo Apparel  
Jewelry TV/VCR/Stereo other
5. What casino game do you prefer most?
Blackjack Slots Video Poker  
Craps other  
6. Are you interested in tournaments?
If yes, what type?
Blackjack Slots Video Poker  
Craps other  
7. In the past 6 months, how many times have you visited the Dubuque Diamond Jo Casino?
1 time 2-3 times 4-6 times  
7-12 times 13+ times    

Do you have any questions or comments?