Credit Application Harrah's Resort Southern California


*  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 New Jersey state officer or employee, member of judiciary or legislature, or an officer of a municipality or county in which casino gaming is authorized 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

Before drawing on my credit line, if granted, I agree to sign a negotiable instrument (i.e. checks) in the amount of the draw.

I authorize Harrah’s Resort Southern California, its subsidiaries, affiliates, and agents to complete any of the following missing items on these instruments: (1) the name of the payee, (2) any missing amounts, (3) a date, (4) the name, account number, and/or addresses and branch of any bank or financial institution and (5) any electronic encoding of the above items. This information can be for any accounts from which I now have or may in the future have the right to withdraw funds, regardless of whether that account now exists, or whether I provided the information on the account to Harrah’s Resort Southern California.

I agree that each draw against my credit line is a separate advance of money by Harrah’s Resort Southern California. 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 authorize Harrah’s Southern California to investigate my credit report and to furnish information concerning such credit records to credit reports agencies and others who may properly receive this information.

I certify that I have reviewed all the information provided above and that it is true and accurate. I authorize Harrah’s Resort Southern California to conduct such investigations pertaining to the above information as it deems necessary for the approval of my credit limit. I certify that I am 21 years of age or older.

I am aware that I may be subject to civil and criminal liability if any material information provided by me is knowingly false. Harrah’s Resort Southern California management reserves the right to revoke check cashing or credit privilege at any time, in its sole discretion. I understand, acknowledge and agree that I am responsible to not only promptly repay any amount advanced to me but also pay for all costs of collections if Harrah’s Resort Southern California must engage in further collection activities because of my failure to repay such amounts, including interest on the amount advanced and attorneys’ fees and costs.

Privacy Policy

Click here to view the Privacy Policy for Harrah's Southern California.

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

Signature

I, the undersigned, hereby authorize and instruct Harrah's Resort Southern California 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 Harrah's Resort Southern California, 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.