Credit Application Hard Rock Hotel & Casino Atlantic City


*  Indicates field is required
Personal Information

Personal Information





* **
* **
* **


ft in
lbs
cm
kg
** 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
See PEP definition
X

Domestic PEP

A domestic PEP is a person who holds — or has held within the last 5 years — a specific office or position in or on behalf of the Canadian federal government, a Canadian provincial government, or a Canadian municipal government, for example:

  • Governor General, lieutenant governor or head of government;
  • member of the Senate or House of Commons or member of a legislature;
  • deputy minister or equivalent rank;
  • ambassador, or attaché or counsellor of an ambassador;
  • military officer with a rank of general or above;
  • pesident of a corporation that is wholly owned directly by Her Majesty in right of Canada or a province;
  • head of a government agency;
  • judge of an appellate court in a province, the Federal Court of Appeal or the Supreme Court of Canada;
  • leader or president of a political party represented in a legislature; or
  • ayor, reeve or other similar chief officer of a local government (municipal governments include cities, towns, villages and rural (county) or metropolitan municipalities).

Foreign PEP

A foreign PEP is a person who holds or has held one of the following offices or positions in or on behalf of a foreign state:

  • head of state or head of government;
  • member of the executive council of government or member of a legislature;
  • deputy minister or equivalent rank;
  • ambassador, or attaché or counsellor of an ambassador;
  • military officer with a rank of general or above;
  • president of a state-owned company or a state-owned bank;
  • head of a government agency;
  • judge of a supreme court, constitutional court or other court of last resort; or
  • leader or president of a political party represented in a legislature.

HIO

The head of an international organization is a person who is either:

  • the head of an international organization established by the governments of states; or
  • the head of an institution established by an international organization.
  • an international sports organization.

When we refer to the head of an international organization or the head of an institution established by an international organization, we are referring to the primary person who leads that organization, for example a Managing Director, Director-General, President, CEO etc.

$
$
$
$
$
$
Primary Bank Information

Account #1

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

Account #2

Pre-paid debit cards, credit cards, and trust accounts 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





Sign Here

Agreement Language Statement for Online Credit Application

I hereby authorize Boardwalk 1000, LLC (dba Hard Rock Hotel & Casino Atlantic City) ("HRHCAC") to obtain a consumer credit report and to conduct such other investigations as it deems necessary, and to furnish information concerning my credit record to other credit-reporting agencies and others who may properly receive this information.

I certify that I am twenty-one years of age or older. I understand that persons under the age of twenty-one (21) are not permitted to gamble. Accordingly, I must be twenty-one (21) years of age or older to apply for credit with HRHCAC. I am aware that false misrepresentation of my age on this application subjects me to criminal prosecution.

I certify that I have reviewed all the information provided on the application and verify that it is true and accurate. I authorize HRHCAC to conduct such investigations pertaining to the above information as it deems necessary for the approval of my credit limit. I acknowledge that this application is required by the laws of the State of New Jersey and the regulations promulgated by the New Jersey Division of Gaming Enforcement, and that I may be subject to civil or criminal liability if any material information provided by me is knowingly false. I hereby authorize HRHCAC, in its sole discretion, to apply any and all chips that I may redeem first to the reduction of my outstanding credit balance, with the remainder, if any, to be returned to me. I further understand and agree that, in the event it becomes necessary for the HRHCAC to institute collection actions against me with respect to any credit granted by HRHCAC to me, I waive any jurisdictional objection to the claim being filed in the courts of Atlantic County in the State of New Jersey or the United States District Court for the District of New Jersey, Camden County. I will be responsible for all costs and expenses associated with HRHCAC’s or its agents’ collection effort, including, but not limited to, reasonable attorney’s fees and court costs, and that I will be responsible for payment of interest on the credit from the date upon which I default on payment calculated at the rate of twelve percent (12%) per annum or the maximum rate allowed by the laws of the State of New Jersey, whichever is less.

Privacy Policy

Click here to view the Hard Rock Hotel & Casino Atlantic City Privacy Policy.

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

Signature

I, the undersigned, hereby authorize and instruct Hard Rock Hotel & Casino Atlantic City 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 Hard Rock Hotel & Casino Atlantic City, 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


Sign Here