Credit Application Silver Slipper Casino Venture

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

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Gaming Information Other Casino Credit

Gaming Information Other Casino Credit





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License Agreement

While information is the cornerstone of our ability to provide superior products and services, our most important asset is our customers trust. Protecting the confidentiality of our customer’s information, keeping it secure, and using it only as our customers would expect, is our top priority for all of us at Silver Slipper Casino. As a result we will abide by the following principles which constitute our privacy promise to our customers: 1) We will safeguard according to the highest standards of confidentiality and security, any information our customers share with us. 2) We will limit the collection, retention and use of customer information to the minimum we require to ensure delivery of superior service to our customers, which includes advising our customers about our products, services, and other opportunities, and to administrate our business. 3) We will endeavor to keep customers information accurate, current, and complete. We will in a timely manner, respond to correct inaccurate information to a customers file. 4) We will permit only authorized employees, who are trained in the proper handling of personally identifiable customer information, to have access to customer information. Employees who violate our Privacy Promise will be subject to disciplinary measures. 5) We will maintain appropriate secure standards and procedures regarding unauthorized access to customer information. 6) We will not reveal specific information about customer accounts or other personally identifiable data to unaffiliated third parties for their independent use unless we have previously informed the customer on disclosures or agreements that have been authorized by the customer, or otherwise as required by law. We will exchange information about our customers with reputable reference services and clearing house sources for the purpose of risk management, credit reporting and verification. 7) When we hire third parties to provide support service we will insist that they conform to similar privacy principles and allow us to audit them for compliance.

Privacy Policy

Click here to view the Privacy Policy for Silver Slipper Casino Venture.

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

Signature

I, the undersigned, hereby authorize and instruct Silver Slipper Casino Venture 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 Silver Slipper Casino Venture, 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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