Credit Application Ameristar East Chicago

Applying for

*  Indicates field is required
Personal Information

Personal Information



ft in
lbs
cm
kg

Trip Information

Trip Information

$

Employment Information

Employment Information

$

New Jersey Gaming Declaration

Are you a gaming related casino employee, a state officer or employee, member of judiciary or legislature, or an officer of a municipality or county in New Jersey?


Financial Information

Financial Information
$
$
$
$
$
Primary Bank Information

Bank Account #1

Pre-paid debit cards, credit cards, trust, savings, and investment accounts are not valid options.
 * Applicant must be the sole proprietor of this account
Secondary Bank Information

Bank Account #2

Pre-paid debit cards, credit cards, trust, savings, and investment accounts are not valid options.
 * Applicant must be the sole proprietor of this account


Gaming Information Other Casino Credit

Gaming Information Other Casino Credit

$
$
$


Customer Service Agreement

I agree to repay all sums that become due and owing by me to Ameristar Casino East Chicago, LLC, (ACEC), arising out of credit issued and I waive any right, statutory or otherwise, to stop payment on any instruments issued in connection with credit issued to me. I agree to pay a fee of $20, if any for each check returned unpaid by my bank. I agree to submit to the personal jurisdiction of any court, federal or state, in Indiana should legal action be taken by ACEC to collect any outstanding balances owed by me to ACEC and agree to pay all costs of collections including attorney fees. I hereby waive any defense to any such action based on lack of personal jurisdiction or improper venue.

I certify that I have reviewed all of the information provided above and that it is true and accurate. I authorize ACEC and its affiliates, directly or through its vendors, to conduct such investigations related to the above information as deemed necessary for the approval of my application for credit. I am aware that this application is required to be prepared in accordance with the internal controls for ACEC as may be applicable as approved by the Indiana Gaming Commission and I may be subject to civil or criminal liability if any material information provided by me is willfully false. I hereby authorize ACEC within its sole discretion, to apply any and all monies otherwise payable to me including gaming instrumentalities such as TITO tickets I may redeem first to the reduction of any outstanding credit balance, with the remainder, if any, to be paid to me.

Privacy Policy

Click here to view the Privacy Policy for Ameristar Casino East Chicago.

Click here to view the Privacy Policy for VisuaLimits, LLC

Signature

I, the undersigned, hereby authorize ACEC, its affiliates, and its vendors, including VisuaLimits, LLC and its affiliates ("VL") to obtain consumer reports, to contact financial institutions, and to check my consumer credit, employment, bank and gaming history in order to evaluate my credit application as well as to update and/or review my account to provide services requested by me, as necessary or as required by law. I authorize ACEC, its affiliates and its vendors, including VL and its affiliates to verify such information through any source. Further, I authorize VL and its affiliates to report any information to other casinos unrelated to ACEC and its affiliates, excluding credit report data obtained from a credit agency, and to exchange any information collected with other parties unrelated to ACEC. I hereby release and waive, and agree not to bring at any time in the future, any claims or demands against ACEC, its affiliates and its vendors including VL and its affiliates relating to any credit investigation made pursuant to my authorization herein, including, without limitation, the collection, processing, and transmission of my information and data.

VisuaLimits, LLC ("VL") promotes responsible gambling. By entering my name in the signature field and clicking the "I Accept" button below, I acknowledge that I have read the VisuaLimits, LLC Responsible Gaming Policy.

By entering my name in the signature field and clicking the "I Accept" button below, I hereby represent, warrant, and agree that all information provided herein is true and correct, that I am the person for whom I am requesting credit, and that I have read, understand, and agree to be bound by all of the terms herein. I hereby acknowledge and agree that this Application may be signed electronically and that such electronic signatures shall be deemed an original for all purposes. I represent and warrant that by signing this Application electronically or causing this Application to be signed electronically that I have the authority to do so and that such electronic signature shall be sufficient to bind the respective party under this Application.