CasinoCard application form

If you do not have a CasinoCard yet, you may easily apply online for a card. You will then be automatically registered on the MyCasinoCard online portal.

Login data

E-mail address*

Repeat e-mail address*

Password*

Password: 8 to 20 characters, letters, numbers, at least one special character

Repeat password*

Personal data

Salutation*

Title

Given name*

Family name*

Date of birth*

Address

Street*

House number*

House number addition

c/o note

Country*

Zip code*

City*

Phone number Please enter with country code. Example: +49 for Germany

IBAN*

Account owner*

BIC*

Bank*

I hereby authorize Siemens AG Restaurant Services to collect payments from my account by direct debit.

First name

Family name

Kreditkartennummer

CCV/CVC 3-digit

Month 2-digit (e.g. 05)

Year 4-digit (e.g. 2020)

I hereby agree to the privacy policy. (The data you provide will be stored for processing and account management. A passing on or other use does not take place.)