Credit Application Stratosphere Casino


Personal Information



** One or the other is required

Trip Information

$

Employment Information

(Please note if retired by entering 'retired')
$

Financial Information (Account #1)

Financial Information (Account #2)


Gaming Information Other Casino Credit

$
$
$

*Indicates field is required

License Agreement

By signing below, I/we authorize Stratosphere to obtain information regarding my accounts with the financial institutions listed or subsequently discovered, to request information from any credit reporting agency and to exchange pertinent information with others who may properly receive this information. I will not hold Stratosphere or any of the financial institutions or reporting agencies responsible for any information released. In consideration of this credit I (1) acknowledge this debt is incurred and payable in Nevada; (2) agree to submit to the jurisdiction of any federal or state court in Nevada to enforce this obligation; (3) agree to pay all collection costs including attorney fees, court costs and interest found due at the rate of 18% per annum; (4) waive any requirement of presentment; (5) waive any right statutory or otherwise, to stop payment on this check. I authorize the payee to complete any negotiable instrument as necessary for presentation or payment within 90 days or by agreement noted above. In the event that a check is returned for insufficient or uncollected funds, it may be re-presented electronically. I have read and understand all the information on this application. Under penalties of perjury, I certify the Number shown on this form is the correct Taxpayer Identification Number issued to me.

Warning: "For the purposes of Nevada law, a credit instrument is identical to a personal check and may be deposited in or presented for payment to a bank or other financial institution on which the credit instrument is drawn. Willfully drawing or passing a credit instrument with the intent to defraud, including knowing that there are insufficient funds in an account upon which it may be drawn, is a crime in the State of Nevada which may result in criminal prosecution in addition to civil proceedings to collect the outstanding debt." My signature below indicates I read and understand this warning.

Privacy Policy

Click here to view the Privacy Policy for Stratosphere Casino.

Click here to view the Privacy Policy for National Cred-A-Chek, Inc.

Signature

I, the undersigned, hereby authorize and instruct Stratosphere Casino and its agent National Cred-A-Chek, Inc. ("NCC") 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 Stratosphere Casino, NCC 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 NCC 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.

National Cred-A-Chek, Inc. ("NCC") 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 National Cred-A-Chek, Inc. 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.