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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 check cashing, 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. Other Casino Name. Employment Information. Use your mouse or touchscreen to sign above. In addition to any amounts authorized by law, I agree to pay if dishonored by a financial institution all costs of collection, including, but not limited to, returned check fees, attorney's fees and court costs. Notify me Please provide at least one casino where you have credit If you do not see the casino listed, select 'Other' and enter the casino name in the space provided. Spouse's Name. Years at Address. Association with Business. I authorize Hollywood Casino at Kansas Speedway, 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 give Kansas Entertainment, LLC, dba Hollywood Casino at Kansas Speedway herein referred to as "HCKS" and its representatives authorization to obtain and verify my financial information from any source, including information pertaining to my personal and business accounts; obtain my financial and employment history, and exchange information with others about my financial and account experiences with HCKS. Click here if Visually Impaired. Do you have credit at a Caesars Entertainment property utilized within 18 months? Physical Signature. Do you wish to be notified prior to deposit? Pursuant to Kansas Statute Chapter 21, Article 58, I acknowledge that Kansas law exclusively governs the terms of these transactions and understand the exclusive jurisdiction for any dispute arising out, of or related to any of the above, shall be a state or federal court sitting in Wyandotte County, Kansas. License Agreement. No Yes. Secondary Bank Information Account 2 Pre-paid debit and credit cards are not valid options. Click if Self-Employed Self-Employed. Account Number Checking Account Number. I authorize HCKS to conduct such investigations pertaining to the information as it deems necessary for the approval of my check cashing limit.

Are you a gaming read article casino employee, https://a-marker.ru/casino/thunderbird-casino-in-shawnee-ok.html state officer or employee, member of judiciary or legislature, or an officer of a municipality or county in New Jersey?

Responsible Gaming Policy. Sign Here. Other Phone. Branch City. I further hollywood casino check cashing that I have not been excluded from any gaming operation, nor have any of my privileges at any gaming operation been restricted, hollywood casino check cashing voluntarily or by action of law.

I agree not to hold any of the entities responsible or liable for the information released, nor HCKS for its use of any such information.

NRT Technologies, Inc. Branch Address. Middle Initial. Is Account a Trust? Click if retired Retired. Bank Name Credit Union Name. I agree that HCKS may retain and use the information on this application and any information it receives based on my authorization whether or not I am granted check cashing privileges.

I certify that I am 21 years of hollywood casino check cashing or older. As a condition to being granted check cashing privileges, I authorize a representative of HCKS to complete any missing items on the check.

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Primary Bank Information Account 1 Pre-paid debit and credit cards are not valid options. Privacy Policy. Click for Metric Metric. 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. Zip Postal Code. 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. I certify that I have reviewed all of the information provided above and that it is true and accurate. Account Type Personal Business. I understand that at the time I cash a check at HCKS, the check may be electronically deposited the same day.