Credit Application Hard Rock Hotel & Casino Atlantic City


*  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, and trust 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, and trust accounts are not valid options.
 * Applicant must be the sole proprietor of this account


Gaming Information Other Casino Credit

Gaming Information Other Casino Credit




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 (21) 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 of 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 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 state or Federal courts of the State of New Jersey. I will be responsible for all costs and expenses associated with HRHCAC's or its agents’ collection efforts, including, but not limited to, reasonable attorneys’ 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 according to the applicable rules on pre-judgment and post-judgment interest set forth in the New Jersey Court Rules.

Privacy Policy

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

Click here to view the Privacy Policy for VisuaLimits, LLC

Signature

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