Credit Application Belterra Casino


*  Indicates field is required
Personal Information

Personal Information





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* **
* **


ft in
lbs
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** You must provide a Passport or Driver's License
** International Applicants must provide a Passport or International ID
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
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$
$
$
$
$
Primary Bank Information

Account #1

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

Account #2

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

Instant Bank Account VerificationSpeeds up approval!

  • This is safe, secure, encrypted, and fast
  • You will need: bank login and bank account information
  • No bank login information is retained by the casino



Gaming Information Other Casino Credit

Gaming Information Other Casino Credit





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License Agreement

I hereby authorize Belterra Casino Resort to investigate my credit record and to furnish information concerning such credit record to credit reporting agencies and others who may properly receive this information.


I acknowledge that I am responsible for the payment 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 submit to the jurisdiction of any court, federal or state, in Indiana should legal action be taken to collect any outstanding balance and agree to pay all cost 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 Belterra Casino Resort to conduct such investigations pertain to the above information as it deems necessary for the approval of my credit limit. I am aware that this application is required to be prepared by the regulations of the Indiana Gaming Commission and I may be subject to civil or criminal liability of any material information provided by me is willfully false. I hereby authorize Belterra Casino Resort within its sole discretion, to apply any and all chips I may redeem to the reduction of any outstanding credit balance, with the remainder, if any, to be returned to me.

Privacy Policy

Click here to view the Privacy Policy for Belterra Casino.

Click here to view the Privacy Policy for NRT Technologies, Inc. and VisuaLimits, LLC

Signature

I, the undersigned, hereby authorize and instruct Belterra Casino and its agent NRT Technologies, Inc. and VisuaLimits, LLC. ("NRT") and its affiliates 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 Belterra Casino, NRT or its affiliates to verify such information through any source and to report any information to another casino, excluding credit report data obtained from a credit agency, and to exchange any information with any of the affiliates of the Company. I hereby release and waive, and agree not to bring at any time in the future, any claims or demands against NRT or its affiliates relating to any credit investigation made pursuant to my authorization and instructions herein, including, without limitation, the collection, processing, and transmission of my information and data.

NRT Technologies, Inc. and VisuaLimits, LLC. ("NRT") 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 NRT Technologies, Inc. and 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.


Physical Signature


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