Credit Application Hard Rock Northern Indiana


*  Indicates field is required
Personal Information

Personal Information





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* **


ft in
lbs
cm
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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

$

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!

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Gaming Information Other Casino Credit

Gaming Information Other Casino Credit





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License Agreement

I certify that I am 21 years of age or older. I understand that persons under the age of 21 are not permitted to gamble using slot machines and table games. Accordingly, I must be 21 years of age or older to apply for credit at the Casino. I am aware that false misrepresentation of my age on this application subjects me to criminal prosecution.

I represent and warrant that I am applying for credit from the Casino for my own personal gaming purposes and that any credit extended to me by the Casino will be used only by me and only for that purpose. I agree that I am liable for repayment of any and all credit that is extended to me by the Casino regardless of how or by whom such credit is used. I hereby irrevocably and unconditionally waive any claim or defense that I am not liable for the repayment of any portion of the credit that is extended to me for any reason, including, but not limited to , the allegation that such credit was used by, or for the benefit of another person, with or without the knowledge or consent of the Casino.

I authorize the Casino to investigate my credit score record and to conduct such other investigations as it deems necessary, and to furnish information concerning my credit record to credit reporting agencies and others who may properly receive this information. I agree not to hold any person or entity responsible or liable for the release of use of any such information. I authorize the Casino to share such information and any audit history; account balance; credit application; credit worthiness; credit availability; and such other general business information regarding my credit line and my relationship with the Casino, to any and all persons that the Casino, in its sole discretion, deems reasonable. I acknowledge that the Casino has not offered or agreed to defer the presentment of any check I have given to it or may hereafter give to it. I agree that if I fail to pay any indebtedness due to the Casino and the indebtedness is placed with an attorney for collection. I will pay the attorney for collection, I will pay the attorney fees and costs incurred by the Casino. I hereby authorize the Casino, at its sole discretion, to apply any and all gaming instruments I may redeem first to the reduction of my outstanding credit balance, with the remainder, if any, to be returned to me.

I acknowledge receipt of the Casino Credit Privacy Notice. I hereby expressly authorize the Casino and it’s affiliates to communicate with me via facsimile transmissions, email, telephonic transmissions, both to a residential telephone line and/or cell phone, including text messaging, using an automatic telephone dialing system or and artificial or prerecorded voice message, and/or any other forms of communication, for any purpose, including general business matters, account information, marketing materials, collection, and/or any other communication needs. I agree that such express permission shall extend to any and all of the contact information that I have provided herein, including physical and email addresses, phone numbers, fax numbers, etc. and to such other addresses, phone numbers, email addresses, online chat, social media platforms, etc. that I may provide to the Casino of that the Casino may obtain from any third party at a later date.

I acknowledge that the Casino is not a "debt collector" as defined in 15 U.S.C. 1692(6) and that the Fair Debt Collections Practice Act does not apply to any actions taken by the Casino to collect any credit extended to me. I hereby Unconditionally and irrevocably waive any rights I might have under the Fair Debt Collections Practice Act. I agree that jurisdiction for any litigation arising in connection with the repayment of any credit extended to me by the Casino of the collection of any bad check given by me to the Casino properly lies in Indiana. I hereby specifically waive any right I may otherwise have to litigate any such matter in another state under the doctrine of "forum non conveniens". However, I acknowledge that each agreement contained in this paragraph is made for the benefit of the Casino and may be waived by it at any time. I hereby consent to the domestication, in any country or jurisdiction in which I have ever resided or in which I have ever owned property, any judgment may be enforced against, and I hereby irrevocable and unconditionally waive any and all defenses to such domestication, procedural and substantive, that I might otherwise have. I agree that such judgment may be enforced against me or my property in any such country or jurisdiction in the same manner, and to the same extent, as a judgment that is rendered by a court in such country of jurisdiction.

I certify that all of the information provided on the application is true and accurate. I am aware that I may be subject to civil or criminal liability if any material information provided by me is willfully false.

Privacy Policy

Click here to view the Hard Rock Northern Indiana.

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

Signature

I, the undersigned, hereby authorize and instruct Hard Rock Northern Indiana 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 Hard Rock Northern Indiana, 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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