Pastime Publications, Inc.
99 Kalamath Street, Denver, CO 80223 • (303) 534-7867 • Fax: 630-214-7600
Toll Free: 888-650-8665 • Email: post@pastimecompany.com

Colorado Gaming Directory
Questionnaire

NAME OF CASINO / BINGO PARLOR / OTHER: _______________________________________

ADDRESS ____________________________________________________________________________

CITY / STATE _____________________________________________ ZIP CODE __________________

TELEPHONE ____________________________________ FAX ________________________________

OWNER:

NAME _________________________________________ TELEPHONE __________________________

ADDRESS: CITY / STATE ____________________________________ ZIP CODE _________________

MANAGEMENT:

GENERAL MANAGER __________________________ CASINO MANAGER _____________________

SLOT MANAGER ______________________ FOOD & BEVERAGE MANAGER ___________________

DIRECTOR OF MARKETING _______________________________ OTHER ______________________

GAMES (Please check all that apply):

____ SLOTS / No.______ • • ____ BLACKJACK / No. Tables______ • • ____ POKER / No. Tables ______

____ BINGO / Seats ______ • • ____ HORSE RACING • • ____ DOG RACING • • ____ SIMUCAST

____ LOTTERY

____ OTHER, Describe:__________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

RESTAURANTS:

NAME _______________________________________ NAME __________________________________

NAME _______________________________________ NAME __________________________________

TYPE OF SERVICE ____________________________ TYPE OF MENU __________________________

DECOR ________________________________________________________________________________

SPECIALTY OF THE HOUSE _________________________________ NO. OF SEATS _______________

LOUNGES:

NAME ______________________________________ NAME ____________________________________

NAME ______________________________________ NAME ____________________________________

SPECIALTY OF THE HOUSE _________________________________ NO. OF SEATS _______________

ENTERTAINMENT _______________________________________________________________________

________________________________________________________________________________________

ATTRACTIONS:

DESCRIBE: _____________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

GIFT SHOPS:

DESCRIBE: _____________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

CLUB CARD:

BENEFITS: _______________________________________ / ____________________________________

_________________________________________________ / ____________________________________

_________________________________________________ / ____________________________________

TRANSPORTATION:

BUS INFORMATION: ____________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

PARKING:

LOCATION(S): __________________________________________________________________________

POLICY: _______________________________________________________________________________

_______________________________________________________________________________________

MISCELLANEOUS INFORMATION:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Please attach a marked photograph of your establishment.

SIGNED _________________________________________ TITLE _________________________________

DATE ______________________________

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