Credit Application Montbleu Resort Casino & Spa

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

Bank Account #1

Pre-paid debit cards, credit cards, and savings 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 savings 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 authorize Columbia Properties Tahoe, LLC, d/b/a MontBleu Resort Casino & Spa ("MONTBLEU") to conduct such investigation pertaining to the above information as it deems necessary for the approval of my credit limit, including an investigation of my personal credit report, and to furnish information concerning my credit records and my credit and account experience with MONTBLEU to credit reporting agencies and others who may properly receive this information. I certify that I have reviewed all of the information provided above, that it is trueand accurate, and that I am 21 years of age or older. I acknowledge that this application is required by the Nevada State Gaming Control Board, and that I may be subject to civil or criminal liability if any material information provided by me is willfully false. Before drawing on my line of credit, if granted, I agree to sign credit instruments (i.e.,checks) in the amount of the draw. I hereby authorize MONTBLEU to complete any of the following missing items on these credit instruments: (1) the name of the payee, (2) any missing amounts, (3) a date, (4) the name, account number, and/or address and branch of my bank or financial institution, and (5) any electronic encodingof foregoing items. This information can be for any account which I may in the future have the right to draw funds upon, whether that account now exists or whether I provided the information about that account to the payee. I agree that each draw against my credit line is a separate advance of money by MONTBLEU. If I receive an advance before I execute a credit instrument I will sign promptly a credit instrument in the amount of the advance. I hereby authorize MONTBLEU to first apply any and all chips, tokens, or other instrumentalities I may redeem to the reduction of any outstanding credit balance, with the remainder, if any, to be returned to me. The credit issued by MONTBLEU is to be used solely for the purpose of gaming at MONTBLEU, and MONTBLEU reserves the right to refuse to cash out chips, tokens or other instrumentalities not used for gaming. I agree that this application, all credit issued to me and all credit instruments signed by me will be governed and interpreted solely pursuant to the lawsof the State of Nevada. In additionto any amounts authorized by law, I will pay interest at the rate of 18% per annum (or the maximum percentage allowed by law if different than the rate stated herein) from the date of issuance on any unpaid credit or credit instruments, plus all costs of collection, including attorney's fees and court costs. I agree that MONTBLEU may litigate any dispute involving my credit line or any credit or credit instruments issued thereunder in any court, state or federal, in Nevada. I hereby submit to the jurisdiction of any court, state or federal, in Nevada. I further represent that I have not been excluded from any gaming operation, nor have any of my privileges at any gaming operation been restricted, either voluntary or by action of law. WARNING: FOR THE PURPOSES OF NEVADA LAW, A CREDIT INSTRUMENT IS IDENTICAL TO A PERSONAL CHECK AND MAY BE DEPOSITED IN OR PRESENTED TO A BANK OF OTHER FINANCIAL INSTITUTION ON WHICH THE CREDIT INSTRUMENT IS DRAWN. WILLFULLY DRAWINGOR 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 MY RESULT IN CRIMINAL PROSECUTION IN ADDITION TO CIVIL PROCEEDINGS TO COLLECT THE OUTSTANDING DEBT.

Privacy Policy

Click here to view the Privacy Policy for Montbleu Resort Casino & Spa.

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

Signature

I, the undersigned, hereby authorize and instruct Montbleu Resort Casino & Spa 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 Montbleu Resort Casino & Spa, 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.