Credit Application Fiesta Henderson Casino

Applying for

*  Indicates field is required
Personal Information

Personal Information





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* **


ft in
lbs
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** You must provide a Passport or Driver's License
** International Applicants must provide a Passport or International ID
Trip Information

Trip Information

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Employment Information

Employment Information

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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
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$
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Primary Bank Information

Account #1

Pre-paid debit and credit cards are not valid options.
 * Applicant must be the sole proprietor of this account
Secondary Bank Information

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





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License Agreement

My signature below is authorization for my financial institution to provide Station Casinos LLC and/or NP Fiesta LLC, d/b/a Fiesta Henderson Casino Hotel (collectively, "Station") with requested information pertaining to my checking accounts, in accordance to the provisions of the Federal Fair Credit Reporting Acts. This authorization applies to my business and personal accounts. Markers not paid within fourteen (14) days of the issue date are subject to deposit unless alternative payment arrangements are made with the appropriate Station management personnel prior to the payment due date. Fees may be assessed for returned checks or third party collections. The confidentiality of the information you have furnished is preserved except when disclosure of this information is required by applicable law.

I give Station permission to obtain information regarding my accounts with the bank(s) listed above and to request information from any recognized credit bureau. I will not hold these firms or Station responsible for any information released in the ordinary course of business. In the event that your check is returned unpaid for insufficient or uncollected funds, we may re-present your check electronically. In the ordinary course of business, your check will not be provided to you with your bank statement, but a copy can be retrieved by contacting your financial institution.

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.

Upon approval, your line of credit is for gaming purposes only (excludes race & sports/poker/ancillary games) and all credit extended is for use solely at Fiesta Henderson Casino Hotel ("Fiesta Henderson Casino"). I hereby authorize Fiesta Henderson Casino, in its sole discretion, to apply any and all chips, slot winnings, or other cash or cash equivalents that I may have earned, redeemed, or received while at Fiesta Henderson Casino: (1) first to the reduction of any outstanding credit balance, and (2) with the remainder, if any, to be returned to me. Reward points may be withheld until any returned checks are paid in full.

Privacy Policy

Click here to view the Privacy Policy for Fiesta Henderson Casino.

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

Signature

I, the undersigned, hereby authorize and instruct Fiesta Henderson Casino 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 Fiesta Henderson Casino, 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.


Physical Signature


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