Credit Application Island View Casino Resort

Applying for

*  Indicates field is required
Personal Information

Personal Information






ft in
lbs
cm
kg

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

I voluntarily give my permission to and fully authorize Island View Casino Resort and its representatives to obtain and verify the information regarding my accounts with the financial institutions listed above or subsequently discovered and to investigate my financial information from any source, including a consumer credit report or my employment history. I further agree and authorize Island View Casino Resort to exchange information, excluding Credit Reports, with others about my financial and account experience with Island View Casino Resort. I agree not to hold any entity, including Island View Casino Resort, responsible or liable for the information released or used. I agree that Island View Casino Resort may retain and use the information on this application and any information it receives based on my authorization, whether I am granted marker signing privileges at Island View Casino Resort or not.

As a condition precedent to receiving marker signing privileges, I agree to sign the marker or other instrument in the amount of the funds issued to me, whether in gaming cheques, cash, etc. Further, I authorize Island View Casino Resort to complete any or all of the following information on said markers: (1) name of payee, (2) a date, (3) name, account number and/or address of any of my financial institutions, (4) electronic encoding of the above and (5) as otherwise authorized by law or by me. 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 Island View Casino Resort. I promise to promptly pay all amounts due and owing to Island View Casino Resort upon demand. 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.

Must provide valid state or federal photo I.D., sample of check/document that includes all titles, routing numbers and account numbers listed above in order to receive final application approval.

In the event legal action is brought to collect any amounts owned, I agree (1) to submit to the jurisdiction of any state or federal court in Harrison County, Mississippi, (2) that said action shall be governed by the laws of the State of Mississippi, (3) to pay interest on the amounts found due at the minimum rate of 8% per annum, or the maximum rate allowed by law from the date of issuance of the marker (if dishonored by a financial institution), and (4) to pay reasonable costs and attorney’s fees associated with any collection efforts in an amount not less than 25% of the outstanding balance.

Unless otherwise agreed upon, any markers not redeemed upon departure will be deposited in 3 days.

I agree that the information set forth above is true and accurate to the best of my knowledge.

Privacy Policy

Click here to view the Privacy Policy for Island View Casino Resort.

Click here to view the Privacy Policy for VisuaLimits, LLC

Signature

I, the undersigned, hereby authorize and instruct Island View Casino Resort and its agent VisuaLimits, LLC ("VL") 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 Island View Casino Resort, VL 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 VL 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.

VisuaLimits, LLC ("VL") 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 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.