Credit Application Hard Rock Casino Lake Tahoe

Applying for

*  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
$
$
$
$
$
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


Gaming Information Other Casino Credit

Gaming Information Other Casino Credit




License Agreement

I hereby certify that the information provided above is true and complete. I authorize Neva One, LLC, dba Hard Rock Hotel & Casino Lake Tahoe or its affiliates, (collectively, the "Company"), to verify such information through any source, to obtain any credit related, gaming related or employment history information about me ("Information"), to report any Information to another casino or a credit reporting agency and to exchange any Information with any of the affiliates part of the Company. No violation of the Credit Application/Agreement or any regulation by the Company shall constitute (a) a defense in any action by the Company or a person acting on behalf of the Company to enforce an instrument or the debt that the instrument represents or (b) a basis for a valid counterclaim to such an action or a claim in any action. Further, this Credit Application/Agreement is not an "other agreement" within the meaning of NRS 104.3117 that would modify, supplement or nullify any instrument.

Warning: For the purposes of Nevada law, a credit instrument is identical to a personal check and may be deposited in or presented for payment to a bank or other financial institution in which the credit instrument is drawn. Willfully drawing or passing a credit instrument with the intent to defraud, including knowing that there are insufficient funds in an account upon which it may be drawn is a crime in the State of Nevada, which may result in criminal prosecution in addition to civil proceedings to collect the outstanding debt.

I acknowledge receipt of a copy of the privacy policy of the company.

Privacy Policy

Click here to view the Privacy Policy for Hard Rock Hotel & Casino Lake Tahoe.

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

Signature

I, the undersigned, hereby authorize and instruct Hard Rock Casino Lake Tahoe 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 Casino Lake Tahoe, 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