Credit Application Scarlet Pearl Casino

Applying for

*  Indicates field is required
Personal Information

Personal Information






ft in
lbs
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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 authorize the Scarlet Pearl Casino to obtain information regarding my account(s) with the financial institutions listed or any institutions subsequently discovered, to order consumer reports from a credit reporting agency, and to exchange pertinent information with others who may properly receive this information. I will not hold any of these institutions responsible for any information released. If approved and funds are extended, I agree that I have received funds and said amounts are on deposit with said bank or trust company in my name. The said amount is free and clear of any claims and I waive any rights to stop payment. I acknowledge that said debt is incurred in Mississippi and agree to submit to the jurisdiction of any Mississippi Court. I hereby authorize completion of this instrument as necessary by presentation for payment. A credit instrument is identical to a personal check. Willfully drawing or passing a credit instrument knowing there are insufficient funds in an account drawn, or with the intent to defraud, is a crime in the State of Mississippi which may result in criminal prosecution. In the event of default in payment of any amounts owed, I agree: 1) to submit to the jurisdiction of any state or federal court in Mississippi, 2) that said actions shall be governed by the laws of the State of Mississippi, and 3) to pay interest on the amounts found due at the legal rate, plus collection costs and attorney's fees in the amount of 25% of the outstanding balance. Unless otherwise agreed upon, any drafts not redeemed on departure will be electronically deposited in seven (7) days.

Privacy Policy

Click here to view the Privacy Policy for VisuaLimits, LLC

Signature

I, the undersigned, hereby authorize and instruct Scarlet Pearl Casino 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 Scarlet Pearl Casino, 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.