Great Canadian Entertainment - Player Gaming Account Application

Player Gaming Account Application Great Canadian Entertainment

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Informational Questions

Please answer the following questions before completing and submitting the application

When was the last time you visited a casino? *

How many times do you visit casinos per year? *

Do you play slots or tables? *

Are you past due on any of your accounts? *

Is your bank account negative? *

Do you understand this is not a loan or credit card, and that the balance is due in full at the end of your trip? *

Do you understand that by applying, we will pull a credit report? *

Have you visited our casino before? *

Do you have a player’s club card with our casino? *

Do you understand that this is an on-demand account that will be linked to your checking account for payment? *

Do you understand that the funds being requested must be available in the account referenced on the application? *

Do you understand that approval may take up to 72 hours? *

Do you understand that funds advanced are to be used only for gaming purposes during this trip? *

Are you self-excluded, banned or trespassed? *

Casino *

* Indicates field is required

Personal Information

First Name *

Middle Initial

Last Name *

Suffix

AKA

Gender *

Are you applying for someone else? *

First and Last Name *

Country *

Address *

Years at Address *

Main Phone *

Other Phone

Email Address *

Preferred Contact Method *

Send Mail to

Country

Address *

Statements Sent To *

Social Security # Social Insurance # (SIN) International ID

Date of Birth *

Country of Birth *

Mother's Maiden Name *

Spouse's Name

Driver's License # * **

Expiration * **

Passport #

Country

Expiration

Height * ft in

Weight * lbs

Height * cm

Weight * kg

Hair Color *

Eye Color *

** You must provide a Passport or Driver's License

** International Applicants must provide a Passport or International ID

Trip Information

Referred by (if not referred, enter N/A) *

Great Canadian Rewards Card Number (if applicable) *

Reservation # *

PGA Number *

Arrival Date *

Trip Occasion *

Deposit Amount *

Employment Information

Employer / Name of Firm Name of Your Business Previous Employer *

Type of Business *

Number of Years *

Position *

Annual Income *

Business Phone *

Fax *

Country *

Business Address *

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

Insider of Public Company *

Politically Exposed Person/Relative or Associate *

Marijuana Related Source of Income *

Source of Income *

Investments Held With *

Pension Employer *

Savings Location *

Name of Spouse *

Other Source of Income *

Total Assets *

Source of Wealth *

Estimated Annual Compensation *

Estimated Total Annual Income *

Estimated Tax Bracket *

Estimated Liquid Net Worth *

Estimated Total Net Worth *

Total Amount of Indebtedness *

Source of Funds *

Gaming Information Other Casino Front Money

Do you have Front Money at other casinos? *

Please provide at least one casino where you have credit
If you do not see the casino listed, select 'Other' and enter the casino name in the space provided

Casino *

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Do you have credit at a Caesars Entertainment property utilized within 18 months?

Sign Here

Signature

Date

License Agreement

Player Gaming Account Terms and Conditions

I (Account Owner) agree and confirm all the information provided is accurate and I understand the following terms and conditions

Player Gaming transactions are completed by the Account Owner and administered by Great Canadian Gaming Corporation (dba Great Canadian Entertainment) on behalf of its Ontario subsidiaries.
Players are prohibited from adding third parties to their Player Gaming Accounts.
Player Gaming Accounts may be closed by the Account Owner, the issuing Service Provider, OLG and / or AGCO at any time.
Player Gaming Accounts are related to Great Canadian Ontario properties; excluding OGELP properties at this time.
The issuing Casino Service Provider will not impose any service charge, nor will the Account Owner earn interest on the account funds
Player Gaming Accounts shall remain in a positive or nil balance at all times, and credit will not be extended to the Account Owner.
All negotiable instruments will be verified and validated prior to their acceptance in depositing into the Player Gaming Accounts.
Player Winners cheques may not be issued from a Player Gaming Account.
Account Owner accepts full financial responsibility and third-party activities are prohibited.
Any account inactive for a 36 consecutive month period may be closed and funds returned as per instructed by the Account Owner. If the Account Owner does not provide Great Canadian with instructions or the Account Owner is non-responsive, funds will be donated to a nonprofit charity approved by Great Canadian. If the Account Owner is deceased, the remaining funds may be redeemed by the Executor or Administrator of the deceased’s estate, subject to appropriate legal documentation.

Privacy Notice

Personal information is collected pursuant to the Ontario Lottery and Gaming Corporation Act, 1999 and Proceeds of Crime (Money Laundering) and Terrorist Financing Act (PCMLTFA) and is intended to be used for, inter alia, the following principle purposes, and for any further purpose deemed by OLG and/or the casino service provider at their sole discretion to be reasonably necessary to give effect to these purposes:

for the administration of the Player Gaming Account program;
to validate transactions;
to audit, and maintain a record for reporting (and other) purposes as generally required by the OLG, the casino service provider, Alcohol and Gaming Commission (AGCO), and Proceeds of Crime (Money Laundering) and Terrorist Financing Act (PCMLTFA);
to communicate with you in relation to your account; and
to adhere with OLG and AGCO requirements.

For questions on collection of your personal information, please see our Privacy Policy at https://greatcanadian.com/privacy-statement/ or contact our Chief Privacy Officer at privacy@greatcanadian.com.

Privacy Policy

Click here to view the Privacy Policy for Great Canadian Entertainment.

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

* I acknowledge that I have read and accept the above privacy policies

Signature

I, the undersigned, hereby authorize and instruct Great Canadian Entertainment and its agent NRT Technologies, Inc. and VisuaLimits, LLC. ("NRT") and its affiliates to aggregate report data in order to evaluate my front money 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 Great Canadian Entertainment, NRT or its affiliates to verify such information through any source and to report any information to another casino, 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 front money 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 front money, 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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Signature

Date