Credit Application Hard Rock Hotel and Casino


*  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

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 on 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 give the Hard Rock Hotel and Casino and its representatives authorization to obtain and verify my financial information (including, but not limited to, account balance information) from any source, obtain my financial and employment history and exchange information with others about my financial and account experience, excluding Experian credit reports, with the Hard Rock Hotel and Casino. I agree not to hold any of the entities responsible or liable for information released, nor the Hard Rock Hotel and Casino for its use of any such information. I agree that the Hard Rock Hotel and Casino may retain and use the information on this application and any information it receives based on my authorization whether or not I am granted Credit signing privileges. As a condition to being granted Credit signing privileges, I agree to sign Credit instruments, aka markers or checks in the form presented to me by the Hard Rock Hotel and Casino in the amount of the funds (e.g. chips, cash, TITO vouchers, etc.) issued to me.

I authorize the Hard Rock Hotel and Casino to complete any of the following information on those markers: 1) name of payee, 2) any missing amounts, 3) a date, 4) name, account number, and/or address of any of my banks and financial institutions, 5) electronic encoding of the above and 6) any other information not prohibited by law. The information inserted may be for any account from which I now or may in the future have the right to withdraw funds, regardless of whether that account now exists, and whether I provided the information on the account to the Hard Rock Hotel and Casino. I represent that at the time I sign any marker, I have on deposit in accounts on which I am authorized signatory for all purposes, without restriction, funds sufficient to pay such marker upon demand.

I acknowledge that irrespective of any currency exchange laws in the country in which I reside, I have the ability and intent to legally pay through my bank or financial institution the funds represented by the markers signed by me and given to the Hard Rock Hotel and Casino.

I agree that Nevada law exclusively applies to these transactions, that the exclusive jurisdiction for any dispute arising out of or related to any of the above shall be a state or federal court sitting in Clark County, Nevada and that I waive any requirement of presentment.

In addition to any amounts authorized by law, I will pay interest at the rate of the lesser of eighteen percent (18%) per annum, or the highest amount permitted by Nevada law, from the date of issuance of the marker (if dishonored by a financial institution) and all costs of collection, including attorneys fees and court costs. I agree that the information set forth above is true and accurate to the best of my knowledge.

Privacy Policy

Click here to view the Privacy Policy for Hard Rock Hotel and Casino.

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

Signature

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