Personal Information




Trip Information

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Employment Information

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Financial Information (Account #1)

Financial Information (Account #2)


Gaming Information Other Casino Credit

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License Agreement

I certify that I have reviewed all information provided and that it is accurate. I authorize PALA Casino Spa and Resort, the PALA Band of Mission Indians and its agents to conduct such investigations pertaining to information, as it deems necessary, for the approval and regular updating of my credit worthiness and to furnish information concerning such credit record to credit reporting agencies and others who may properly receive this information. I am aware an application is required to be prepared by the regulations of the PALA Gaming commission and I may be subject to civil and criminal liability if any material information provided by me is willfully false. With respect to the collection of my accounts(s), (1) I agree to submit to the jurisdiction of any state or federal court in California and (2) I agree to pay all cost of collection, including Pala Casino attorney fees and court costs, in addition to any amounts authorized by law.

I hereby authorize PALA Casino Spa and Resort, the PALA Band of Mission Indians and its agents to retain and apply any and all jackpots, chips, or winnings first to the reduction of any outstanding credit balance with the remainder, if any, returned to me. I agree that I am 21 years of age or older. I agree that the information set forth above is true and accurate to the best of my knowledge. I also agree to authorize PALA Casino Resort and Spa to charge any unpaid casino debts to any credit card that the undersigned has presented to PALA Casino Spa and Resort for any purpose. I also agree that PALA Casino Spa and Resort may deposit any markers into any accounts I am a signer on at any time and that funds will be made available so that they will clear upon presentation.

Privacy Policy

Click here to view the Pala Casino Privacy Policy.

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

Signature

I, the undersigned, hereby authorize and instruct Pala 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 Pala 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.