Credit Application Cannery Casino * Hotel

Informational Questions

Please answer the following questions before completing and submitting the application
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 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, and savings 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

Warning: 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.

Two forms of identification will be required at such time - a driver's license, state identification card or passport and social security card. Credit of any kind will not be established without proof of social security number.

ALL MARKER CREDIT ACCOUNTS ARE DUE 30 DAYS FROM MARKER ISSUE DATE

I give the Cannery Casino * Hotel and its representatives permission to obtain and verify credit information from any source and to request information from any recognized credit bureau. I will not hold any of these entities or the Cannery Casino * Hotel responsible or liable for the information released in the ordinary course of business. I understand there may be a cost associated with my bank and agree to pay all fees to obtain the credit information needed and the Cannery Casino * Hotel will not be held responsible for any fees.

Before drawing on my line of credit, if granted, I agree to sign credit instruments (i.e. checks and markers) in the amount of the draw. I authorize the Cannery Casino * Hotel to complete any of the following missing items on these credit instruments: the name of payee; any missing amounts; a date; the name, account number, address and/or branch of any bank or financial institution; and any electronic encoding of the items. This information can be for any account from which I now have or may in the future have the right to withdraw funds from regardless of whether the account now exists and whether I provided the information to the Cannery Casino * Hotel.

I acknowledge that I have the ability and intent to legally repay any advance of money to the Cannery Casino * Hotel. I also acknowledge that an independent agent collecting for payments on my debt is my agent and not an agent for the Cannery Casino * Hotel or any of its affiliates.

I agree that each draw against my credit line is a separate advance of money by the Cannery Casino * Hotel. If I receive the advance before I execute a credit instrument, I promptly will sign a credit instrument in the amount of the advance.

I agree that Nevada law exclusively governs the terms of the credit line, advances or credit instruments. I agree that the Cannery Casino * Hotel may litigate any dispute involving the credit line, the debt, or the payee in any court, state or federal, in Nevada. I submit to the jurisdiction of any court, state or federal, in Nevada.

Besides any amounts authorized by law, I will pay interest at the rate of 18% per annum from the date of execution of the credit instruments and all costs of collection, including attorney's fees and court costs.

Privacy Policy

Click here to view the Privacy Policy for The Cannery Casino * Hotel.

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

Signature

I, the undersigned, hereby authorize and instruct Cannery Casino * Hotel 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 Cannery Casino * Hotel, 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.