Credit Application Margaritaville Resort Casino

Applying for

*  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, LOC, 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, LOC, 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




License Agreement

I certify that I have reviewed all of the information provided above and that it is true and accurate. I authorize Bossier Casino Venture, Inc. DBA Margaritaville Resort Casino to conduct such investigations pertaining to the above information as it deems necessary for the approval and maintenance of my credit limit, including but not limited to obtaining a credit report from a national credit reporting agency. I am aware that this application is required to be prepared by the regulations of the Louisiana Gaming Control Board and the Riverboat Gaming Commission and I may be subject to civil or criminal liability if any material information provided by me is willfully false. I understand that the information provided by me to complete this application is provided for the purpose of inducing Bossier Casino Venture, Inc. to issue credit to me. I authorize Bossier Casino Venture, Inc. to conduct such investigations pertaining to the above information as it deems necessary in its sole discretion for the approval or rejection of my credit limit. I also certify that I am 21 years of age or older. I understand that Louisiana law prohibits persons under the age of 21 from engaging in gaming activity. Accordingly, I must be 21 years of age or older to apply for and obtain credit at Bossier Casino Venture, Inc. I am aware that false misrepresentation of my age on this application and/or my entry onto the casino floor if I am less than 21 years of age subjects me to criminal prosecution.I agree to pay all sums due as a result of credit extended, loaned, or advanced to me by Bossier Casino Venture, Inc. whether by way of chips, cash or checks within the time period determined as according to the guidelines set by Bossier Casino Venture, Inc. I further authorize Bossier Casino Venture, Inc. to debit any of the accounts listed above in repayment of any of the sums that are not paid on or before the due date following the time period as determined by Bossier Casino Venture, Inc. I agree that any partial payment on account of outstanding debt owing to Bossier Casino Venture, Inc. shall be deemed an acknowledgement by me of the total remaining balance of that outstanding debt. In the event an attorney is employed to collect the credit balance, I agree to pay the cost of such collection together with reasonable attorney fees.This agreement shall be governed by the laws of the state of Louisiana. For the purpose of any action for the enforcement or collection of any outstanding debt I owe or may owe in the future to Bossier Casino Venture, Inc. I hereby submit to the personal jurisdiction of the state and federal courts sitting in Bossier City, Parish of Bossier, State of Louisiana and I hereby waive any and all objections or exceptions I may have to (1) such courts’ lack of jurisdiction over my person and (2) improper venue.

I authorize Bossier Casino Venture, Inc., in its sole discretion, to apply any and all chips, cash or checks I may redeem, first, to the reduction of my outstanding credit balance with the remainder, if any to be returned to me.

Privacy Policy

Click here to view the Privacy Policy for Margaritaville Resort Casino.

Click here to view the Privacy Policy for VisuaLimits, LLC

Signature

I, the undersigned, hereby authorize and instruct Margaritaville Resort Casino 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 Margaritaville Resort Casino, 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.