Credit Application Hollywood Casino Tunica

Applying for

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Personal Information

Personal Information





* **


ft in
lbs
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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

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


Gaming Information Other Casino Credit

Gaming Information Other Casino Credit





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License Agreement

License

I give HWCC-Tunica, Inc.. dba Hollywood Casino Tunica and it's representatives authorization to obtain and verify my financial information from any source, including information pertaining to my personal and business accounts; obtainer my financial and employment history and exchange information with others about my financial and account experiences with HWCC-Tunica, Inc. dba Hollywood Casino Tunica. I agree not to hold any of the entities responsible or liable for the information released, nor the HWCC-Tunica, Inc.. dba Hollywood Casino Tunica for its use of any such information. I agree that HWCC-Tunica, Inc. dba Hollywood Casino Tunica may retain and use the information on this application and any information it receives based on my authorization whether or not I am granted marker signing privileges.

As a condition to being granted marker signing privileges, I agree to sign credit instruments, also known as, markers or checks (hereinafter "markers") in the amount of the draw. I authorize HWCC-Tunica, Inc. dba Hollywood Casino Tunica to complete any of the following information on those markers: (1) name of payee, (2) a date, (3) name, account number, and/or address and branch of any banks and financial institutions, (4) electronic encoding of the above. This information can be for any account from which I now have 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 HWCC-Tunica, Inc. dba Hollywood Casino Tunica. 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 that I have the ability and intent to legally repay through my bank or financial institution the funds represented by markers signed by me and given to HWCC-Tunica, Inc. dba Hollywood Casino Tunica. I also acknowledge that an independent agent collecting front money deposits or payments on the debt is my agent and not an agent for HWCC-Tunica, Inc. dba Hollywood Casino Tunica or any of its affiliates.

I agree that Mississippi law exclusively governs the terms of these transactions, that the exclusive jurisdiction for any dispute arising out of or related to any of the above shall be a state or federal court sitting in Tunica County, Mississippi. In addition to any amounts authorized by law, I will pay interest, from the date of issuance of the marker (if dishonored by a financial institution) and all costs of collection, including attorney's fees and court costs.

HWCC-TUNICA, INC. DBA HOLLYWOOD CASINO TUNICA ENDORSES RESPONSIBLE GAMING. At your request, we will provide you information on the Mississippi Gaming Commission Self Exclusion Program. We also will cancel or limit your access to marker signing privileges on your request. If you or anyone you know may have a problem gaming responsibly, please call 1-888-777-9696.

Privacy Policy

Click here to view the Privacy Policy for Hollywood Casino Tunica.

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

Signature

I, the undersigned, hereby authorize and instruct Hollywood Casino Tunica 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 Hollywood Casino Tunica, 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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