Credit Application MotorCity Casino Hotel

Informational Questions

Please answer the following questions before completing and submitting the application

*  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

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





Sign Here

License Agreement

I authorize Detroit Entertainment, L.L.C. d/b/a MotorCity Casino Hotel to request consumer reports regarding my gaming activity and credit history, information regarding my bank accounts, and similar information in order to evaluate my creditworthiness, and to furnish information of that nature and of the nature contained in such reports, whether obtained from third parties or from MotorCity Casino Hotel’s records, to credit reporting agencies and others who may properly receive such information. MotorCity Casino Hotel may also use the information obtained to aid in the collection of outstanding accounts owed to MotorCity Casino Hotel. I certify that I have reviewed all of the information provided above and that it is true and accurate. I authorize MotorCity Casino Hotel to conduct such investigations pertaining to the above information as it deems necessary for the approval of my credit limit. I am aware that this application is required pursuant to the provisions of the Michigan Gaming Control Board and Revenue Act and the rules promulgated pursuant thereto and I may be subject to civil and criminal liability if information provided by me is willfully false. I acknowledge that any credit issued to me by MotorCity Casino Hotel is being issued under the laws of Michigan, for disbursement in Michigan, and for use only in MotorCity Casino Hotel’s casino. I hereby authorize MotorCity Casino Hotel in its sole discretion to apply any and all gaming chips I may redeem first to the reduction of any outstanding credit balance, with the remainder, if any, to be returned to me.

In the event of any conflict between the provision above and the provisions below under the section entitled "Signature," the provision above shall control.

Privacy Policy

Click here to view the Privacy Policy for MotorCity Casino Hotel.

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

Signature

I, the undersigned, hereby authorize and instruct MotorCity Casino Hotel 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 MotorCity Casino Hotel, 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 NRT. 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 or MotorCity Casino Hotel relating to any 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


Sign Here