Credit Application Circus Circus LV

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
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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

Instant Bank Account VerificationSpeeds up approval!

  • This is safe, secure, encrypted, and fast
  • You will need: bank login and bank account information
  • No bank login information is retained by the casino



Gaming Information Other Casino Marker

Gaming Information Other Casino Marker





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License Agreement

As a condition to being granted marker signing privileges, I agree to sign credit instruments, AKA markers or checks (hereinafter "markers") in the amount of the funds (e.g., chips, cash, tokens, etc.) issued to me. Further, I authorize Circus Circus LV, LLC and its affiliates to complete any of the following information on those markers: (1) name of payee, (2) a date, (3) name, account number and/or address of any of my banks and financial institutions, (4) electronic encoding of the above, and (5) as otherwise authorized by the law. The information inserted may be for any account from which I now or may in the future have the right to withdraw funds, regardless of whether that account now exists, and whether I provided the information on the account to Circus Circus LV, LLC and its affiliates.

I REPRESENT THAT AT THE TIME I SIGN ANY MARKER, I HAVE ON DEPOSIT IN ACCOUNTS ON WHICH I AM AN AUTHORIZED SIGNATORY FOR ALL PURPOSES, WITHOUT RESTRICTION, FUNDS SUFFICIENT TO PAY SUCH MARKER UPON DEMAND OR PRESENTMENT.

I acknowledge that irrespective of any currency exchange laws in the country in which I reside, I have the ability and intent to legally pay through my bank or financial institution the funds represented by the markers signed by me and given to Circus Circus LV, LLC and its affiliates. I also acknowledge that an independent agent collecting front money deposits or payments on my outstanding balance is my agent and not an agent for Circus Circus LV, LLC or any of its affiliates.

I agree that each marker I sign is a separate transaction. If I receive the funds before I execute a marker, I promptly will sign a marker when presented to me in the amount of the funds I received.

I agree that Nevada law exclusively applies to these transactions, that I consent to the corresponding jurisdiction for any dispute arising out of or related to any of the above that may be commenced in a state or federal court sitting in Clark County, Nevada, and that I waive any requirement of presentment and waive any objection I may have to jurisdiction in such courts.

In addition to any amounts authorized by law, I will pay interest at the rate of eighteen percent (18%) per annum, unless prohibited by Nevada law, and in such case at the highest amount permitted by Nevada law, from the date of issuance of the marker (if dishonored by a financial institution) and all costs of collecting, including attorney's fees and court costs.

I agree that the information set forth above is true and accurate to the best of my knowledge.

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.

By signing the marker limit application, I acknowledge that I have read the attached Circus Circus LV, LLC Responsible Gaming Policy.

RESPONSIBLE GAMING

Circus Circus Hotel & Casino strongly supports and promotes responsible gaming practices. We take a proactive approach, educating our employees and providing them with the information they need to inform guests of the resources available for the treatment of gambling disorders. We adhere to the state laws of legal gambling, and restricts the admission and participation of minors.

If you or someone you know has a gambling problem, we urge you to contact any of these organizations for help:

National Center for Responsible Gaming
1-800-522-4700 or visit their website at:
https://www.ncrg.org

Gamblers Anonymous
1-855-222-5542 or visit their website at:
http://www.gamblersanonymous.org/ga/

Gam-Anon International
1-718-352-1671 or visit their website at:
http://www.gam-anon.org

Privacy Policy

Click here to view the Circus Circus Las Vegas Privacy Policy.

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

Signature

I, the undersigned, hereby authorize and instruct Circus Circus Las Vegas 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 Circus Circus Las Vegas, 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 Circus Circus LV, LLC and 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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