Credit Application Dover Downs Hotel & Casino


*  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 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

The information provided by me to complete this application is provided for the purpose of inducing Dover Downs to issue credit to me. I certify that I am 21 years of age or older and that I have reviewed all of the information provided on this application and that it is true and accurate. I am aware that this application is required to be prepared by the regulations of the Delaware lottery commission and that I may be subject to civil or criminal liability if any material information provided by me is willfully false.

I authorize Dover Downs and its affiliates to obtain and verify my financial information (including but not limited to account balance information) from any source, obtain my financial and employment history, and exchange information with others about my financial and account experience with Dover Downs and its affiliates, as it deems necessary, for the approval of my credit limit. I agree not to hold any of the entities responsible or liable for the information released, nor Dover Downs and its affiliates for its use of any such information. I agree that Dover Downs and its affiliates may retain and use the information on this application and any information it receives based on my authorization whether or not I am granted credit. Dover Downs reserves the right to share information about my credit with reputable reference sources and clearinghouse services and shall have no liability to me in this regard. I authorize Dover Downs to encode any of the markers with any bank account listed by me on this card at Dover Downs' discretion and at any time.

As a condition to being granted marker signing privileges, I agree to sign credit instruments, also known as markers or checks, in the amount of the funds (e.g., chips, cash, tokens, etc.) issued to me. Further, I authorize Dover Downs 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 Dover Downs 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 Dover Downs 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 Dover Downs 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 Dover Downs shall have the right to apply all or any portion of chips or TITO credit slips presented by me toward the redemption of any of my outstanding Dover Downs Counter Checks or returned checks. If I am in default or fail to pay any amounts due to Dover Downs, I agree to reimburse Dover Downs for all costs of collection including attorneys' fees and agree to pay interest on overdue amounts at the rate of twelve (12%) percent per annum compounded monthly or such lesser rate as is permitted by law. I agree to waive any requirements of presentment. Regardless of my credit rating / level, Dover Downs may refuse to extend further credit to me at any time in its sole discretion.

I agree that the debt for which this credit instrument is issued was incurred in the State of Delaware. This agreement is subject to and shall be construed in accordance with the substantive laws of the State of Delaware without regard to conflicts of law principles. I submit to the exclusive jurisdiction of the state and federal courts of the State of Delaware with respect to any disputes hereunder and to venue in any such state or federal court. Notice to me will be deemed adequate if mailed to the last address shown in Dover Downs’ records. This agreement constitutes the entire agreement between Dover Downs and me and there are no other promises or conditions in any other agreement whether verbal or written. I understand that Dover Downs reserves the right to change at any time the terms which govern the extension of credit or adopt additional terms. By signing below, I am authorizing Dover Downs to check my credit.

Privacy Policy

Click here to view the Privacy Policy for Dover Downs.

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

Signature

I, the undersigned, hereby authorize and instruct Dover Downs Hotel & 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 Dover Downs Hotel & 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.