Home Advanced Deposit Wagering Provider CC Advanced Deposit Wagering Provider CC Text field Credit Card payments are allowed up to 100K - amounts over this will need to use the ACH payment page. If the option is not available you will have to make the payment using a check. Please use the ACH page. A 1.9% Convenience Fee will be added to Credit Card Payments. Customer Information Organization - Select -TVG / FanDuelTwin SpiresXpressbet First Name Last Name License / Customer / Vendor Number # Email @ Phone Number # Address Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code TVG / FanDuel Options TVG/Fan Duel Permits - R007 Investigative Fees for Permittees-R007 Permits Amount $ Investigative Fees Amount $ Twin Spires Options Twin Spires Permits - R006 Investigative Fees for Permittees-R006 Permits Amount $ Investigative Fees Amount $ Xpressbet Options Xpressbet Permits - R008 Investigative Fees for Permittees-R008 Permits Amount $ Investigative Fees Amount $ Credit Card Convenience Fee Credit Card Fee: $ 0 Update Payment Detail Preview Leave this field blank