文档介绍：Please select one of the following Delivery Options: Mail E-Mail Pick-Up Fax Dear Valued Guest, As required by Federal legislation, as well as considering our guests’ best interest, prior to releasing any financial information we must receive written approval from the owner of the account, which we maintain. This letter will serve to fulfill the requirement to send, in written form, the information requested by the account holder We will not provide information associated to a spouse, family member, relative, friend and/or other account, without written approval from the account holder. Please complete the lower portion of this document, including information to be released, address to send the information to, signature and date. This form will serve as a waiver for the release of information, only to the person listed below. All information will be mailed, e-mailed, faxedor made availablefor pick up at the Pala Casino Privilege Office by the main entrance. Tax informationcanalso be accessed using a“MyPala”account at ala Print Name: ______________________________________________ Last 4 digits of SSN:_________________ Address: __________________________________________________________________________________ City: _____________________________________________ State: __________ Zip: _____________________ Birth Date: __