Credit Application Ellis Island Casino & Brewery


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

Bank Account #2

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


Gaming Information Other Casino Credit

Gaming Information Other Casino Credit

$
$
$


License Agreement

Thank you for your continued patronage. By signing this Credit Application, you have agreed as follows: You give Ellis Island Casino and its representatives permission to obtain and verify credit information from any source, obtain your credit and employment history and exchange information with others about your credit and account experiences with Ellis Island Casino. You agree not to hold any of these entities responsible or liable for the information released. You agree that Ellis Island Casino will retain this application whether or not it approves the credit line. Before drawing on your line of credit, if granted, you agree to sign credit instruments (i.e. checks) in the amount of the draw. You authorize Ellis Island Casino to complete any of the following missing items on these credit instruments: (1) the name of the payee, (2) any missing amounts, (3) a date, (4) the name, account number, and/or address and branch of any banks and financial institutions and (5) electronic encoding of the above items. This information can be for any account from which you now have or may have the right to withdraw funds, regardless of whether or not that account exists and whether you provided the information on the account to Ellis Island Casino. You acknowledge that you have the ability and intent to legally repay any advance of money by Ellis Island Casino. You agree that Nevada law exclusively governs the terms of the credit line, advances or credit instruments. You agree that Ellis Island Casino may litigate any dispute involving the credit line, the debt, or the payee in any court, state or federal, in Nevada. You submit to the jurisdiction of any court, state or federal, in Nevada. In addition to any amounts authorized by law, you will pay interest at the rate of 18% per annum from the date of execution of the credit instrument and all costs of collection, including attorney fees and court costs.

Privacy Policy

Click here to view the Privacy Policy for Ellis Island Casino & Brewery.

Click here to view the Privacy Policy for VisuaLimits, LLC

Signature

I, the undersigned, hereby authorize and instruct Ellis Island Casino & Brewery and its agent VisuaLimits, LLC ("VL") 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 Ellis Island Casino & Brewery, VL 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 VL 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.

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.