Credit Application Yaamava' Resort & Casino at San Manuel

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 cards, credit cards, and trust accounts are not valid options.
 * Applicant must be the sole proprietor of this account
Secondary Bank Information

Account #2

Pre-paid debit cards, credit cards, and trust accounts 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 certify that the information on this application for credit ("Application") is accurate and I am 21 years of age or older. I authorize San Manuel Entertainment Authority, an unincorporated instrumentality of the San Manuel Band of Mission Indians ("SMEA"), and its agent, National Cred-A-Check, Inc. and its affiliates ("NCC") to obtain consumer reports, to contact financial institutions, and to check my consumer credit, employment, business affiliation(s), bank balances, gaming history and make related inquiries in order to evaluate my credit application. I further authorize SMEA and NCC to conduct all investigations necessary to verify such information through any source and to report any information to another casino (excluding consumer report data obtained from a consumer reporting agency) and to exchange any information with any affiliates of SMEA. I also authorize SMEA and NCC to update and/or review my credit account to provide services requested by me, as necessary or as required by law.

I hereby release and waive, and agree not to bring at any time in the future, any claims or demands against SMEA or its agents and representatives relating to any credit investigation made pursuant to my authorization and instructions here, including, without limitation, the collection, processing and transmission of my information and data.

Per SMEA policy and procedures, a completed and signed application is required prior to the extension of credit. If through investigation it is discovered that information contained in this application is inaccurate or was falsely provided, civil and criminal actions may be taken, and if credit has been extended, an immediate demand for payment may be made.

If collection is required, I agree and consent to exclusive personal jurisdiction of the appropriate federal or state courts in or for the County of San Bernardino, State of California, to hear and determine any claims or disputes pertaining directly or indirectly to this Application, provided that nothing herein shall constitute a waiver of the sovereign immunity of SMEA or San Manuel Band of Mission Indians. I also agree to pay all costs of collections, including SMEA attorney fees and court costs, in addition to any amounts authorized by law. If I have not paid my debt in a timely manner, as agreed, I authorize SMEA to retain all jackpots, chips or winnings and to apply the same toward the reduction of any outstanding credit balance with the remainder, if any, being returned to me.

Privacy Policy

Click here to view the Yaamava' Resort & Casino at San Manuel Privacy Policy.

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

Signature

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 signature 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