Credit Application L'auberge Baton Rouge

Applying for

*  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 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

Privacy Statement - In the course of providing credit and other financial services at L'Auberge Casino and Hotel Baton Rouge, we obtain certain and personal information about our customers or former customers that may be considered confidential. We maintain physical, electronic and procedural protections to guard our customers' nonpublic personal information. We do not disclose any of this information about our customers or former customers to anyone, except as required by law. In the future, it may be necessary to modify or supplement the Privacy Statement. Our customers will be informed of any changes to our policy in notices that we will provide as required by law. Customer Agreement - I certify that I have reviewed all of the information provided above and that it is true and accurate. I authorize L'Auberge Casino and Hotel Baton Rouge to conduct such investigations pertaining to the above information as it deems necessary for the approval and maintenance of my credit limit, including but not limited to obtaining a credit report from a national credit reporting agency. I am aware that this application is required to be prepared by the regulations of the Louisiana Gaming Control Board and the Riverboat Gaming Commission and I may be subject to civil or criminal liability if any material information provided by me is willfully false. I understand that the information provided by me to complete this application is provided for the purpose of inducing L'Auberge Casino and Hotel Baton Rouge to issue credit to me. I authorize L'Auberge Casino and Hotel Baton Rouge to conduct such investigations pertaining to the above information as it deems necessary in its sole discretion for the approval or rejection of my credit limit. I also certify that I am 21 years of age or older. I understand that Louisiana law prohibits persons under the age of 21 from engaging in gaming activity. Accordingly, I must be 21 years of age or older to apply for and obtain credit at L'Auberge Casino and Hotel Baton Rouge. I am aware that false misrepresentation of my age on this application and/or my entry onto the casino floor if I am less than 21 years of age subjects me to criminal prosecution. I agree to pay all sums due as a result of credit extended, loaned, or advanced to me by L'Auberge Casino and Hotel Baton Rouge whether by way of chips, plaques, slot tokens or checks within the time period determined as according to the guidelines set by L'Auberge Casino and Hotel Baton Rouge. I further authorize L'Auberge Casino and Hotel Baton Rouge to debit any of the accounts listed above in repayment of any of the sums that are not paid on or before the due date following the time period as determined by L'Auberge Casino and Hotel Baton Rouge. I authorize L'Auberge Casino and Hotel Baton Rouge, in its sole discretion, to apply any and all chips, plaques and slots tokens I may redeem, first, to the reduction of my outstanding credit balance with the remainder, if any, to be returned to me. I agree that any partial payment on account of outstanding debt owing to L'Auberge Casino and Hotel Baton Rouge shall be deemed an acknowledgement by me of the total remaining balance of that outstanding debt. In the event an attorney is employed to collect the credit balance, I agree to pay the cost of such collection together with reasonable attorney fees. This agreement shall be governed by the laws of the State of Louisiana. For the purpose of any action for the enforcement or collection of any outstanding debt I owe or may owe in the future to L'Auberge Casino and Hotel Baton Rouge, I hereby submit to the personal jurisdiction of the state and federal courts sitting in Baton Rouge, Parish of East Baton Rouge, State of Louisiana and I hereby waive any and all objections or exceptions I may have to (1) such courts' lack of jurisdiction over my person and (2) improper venue.

Privacy Policy

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

Signature

I, the undersigned, hereby authorize and instruct L'auberge Baton Rouge 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 L'auberge Baton Rouge, 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.