Credit Application

Personal Information

Abbreviation if USA (ex. CA)

State abbreviation for USA (ex. CA)

Trip Information

$ 20K = 20000

Employment Information


(Please note if retired by entering 'retired')
State abbreviation (ex. CA)

Financial Information (Account #1)

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State abbreviation (ex. CA)

Financial Information (Account #2)

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State abbreviation (ex. CA)

Other Casino Credit


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** One of these fields is required


By my signature below I attest that the information above has been provided by me for the purpose of obtaining credit and I declare this information to be true and correct. I give permission to Hard Rock Casino Biloxi to obtain information regarding my bank account(s) and information from any recognized credit bureau so as to provide assurance of financial status. I will not hold these firms liable for any information released.
Privacy Statement - In the course of providing credit and other financial services at Hard Rock Casino Biloxi, we obtain certain and personal information about our customers or former customers that may be considered confidential. We maintain physical, electronic and procedural protections to guard our customers' nonpublic personal information. We do not disclose any of this information about our customers or former customers to anyone, except as required by law.

Click here to view the Privacy Policy for National Cred-A-Chek, Inc.

I acknowledge that I have read and accept the above privacy policy.
I, the undersigned, hereby authorize and instruct Hard Rock Casino Biloxi and its agent National Cred-A-Chek, Inc. ("NCC") 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 Casino Biloxi, NCC 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 NCC 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.

National Cred-A-Chek, Inc. ("NCC") 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 National Cred-A-Chek, Inc. 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.