Credit Application Rivers Casino & Resort Schenectady

Informational Questions

Please answer the following questions before completing and submitting the application.

*  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

I hereby certify that I have read and understand this application and its terms and I execute this document voluntarily and with full knowledge of its significance. I acknowledge and agree that Rivers Casino & Resort Schenectady is relying on the information provided herein in making decisions related to the extension of a counter check limit and I represent and warrant that the information provided herein is true and accurate in all respects. I authorize Rivers Casino & Resort Schenectady to conduct such investigations pertaining to the above information as it deems necessary for approval of my counter check limit. I am aware that this application is required by the regulations of the New York State Gaming Commission. I understand that a counter check issued by Rivers Casino & Resort Schenectady is identical to a personal check and may be deposited in or presented for payment to my bank or other financial institution. I acknowledge that willfully drawing or passing a counter check instrument with the intent to defraud, including knowing there are insufficient funds in my account, is a crime in the State of New York and may result in criminal prosecution. I am also aware that providing false or misleading statements or omitting information on this application may subject me to civil or criminal penalties. I acknowledge that Rivers Casino & Resort Schenectady may apply any chips or slot tokens presented by me to the redemption of any outstanding or returned counter checks.

Privacy Policy

Click here to view the Privacy Policy for Rivers Casino and Resort.

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

Signature

I, the undersigned, hereby authorize and instruct Rivers Casino & Resort Schenectady 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 Rivers Casino & Resort Schenectady, 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.