Plaza Credit Application

Credit Application

Attention: Casino Credit Department
P.O. Box 760, Las Vegas, NV 89101 • Fax: 702-386-2219

Marketing Rep:
Email Address:*
Limit Requested (minimum $1,000)*
Limit Type:*
Gaming Preference*
- Select All
- Slots
- Bingo
- Table Games
- Keno
Name*
First Last
Residence Phone*
Alt. Phone Number:
Residence Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Alt. Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment Status*
(If retired, please enter former occupation)
Hidden
Former Occupation:
Name of Employer:
Business Phone:
Type of Business:
Position with Employer:
Address of Employer:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Drivers License Number:*
Social Security Number:*
Date of Birth:*
MM slash DD slash YYYY
Expected Arrival Date:*
MM slash DD slash YYYY
Mail To:
- Residence Address
- Alt. Mailing Address
- Employer Address
Primary (1) Bank Name:*
Routing Number #*
Primary (1) Bank Street Address
Street Address Address Line 2 City State ZIP Code
Personal Account Number:*
Name on Business Account:
Business Account Number:
Bank Contact & Position:
Secondary (2) Bank Name:
Secondary (2) Routing Number #:
Secondary (2) Bank Address
Street Address Address Line 2 City State ZIP Code
Personal Account Number:
Business Account Number:
Name on Business Account:
Bank Contact & Position:
Signature as on checks*
Credit at Other Casinos (If so, please list)*
I give PlayLV, it’s subsidiaries and representatives permission to obtain and verify credit information with any source, obtain credit, employment history, and exchange information with others about my credit with PlayLV. “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 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.”
Signature*
Signature Date*
MM slash DD slash YYYY
Plaza Hotel Casino ENDORSES RESPONSIBLE GAMING. We will cancel or reduce your credit line upon request. If you or someone you know may have a problem gaming responsibly, please call 1.800.522.4700.
Phone
This field is for validation purposes and should be left unchanged.

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