CREDIT APPLICATION



Please complete the credit application below or download the PDF version to apply for a credit line at Borgata.  We will process this information upon receipt.  Upon your next visit to Borgata Hotel Casino and Spa, please inquire at the Credit Office to complete the application process.  You will need to provide valid identification (i.e. Driver's License, Passport, Military I.D.) and your signature is also required on the formal application created by a Borgata Associate.

Download Credit Application in Adobe© Reader format.

CREDIT INFORMATION
Credit Limit Requested: *
 		Date of Arrival (MM/DD/YY) : *
 		My Borgata Number:
CONTACT INFORMATION
First Name: *
 		Last Name: *
 		 
Social Security #
(XXX-XX-XXXX) : *
 		Date of Birth
(MM/DD/YY) : *
 		 
Residence Address: *
 		Residence City: *
 		 
Residence State: *
 		Residence Zip Code: *
 		 
Residence Country: *
 		Years at this Address: *
 		 
Residence Phone (XXX-XXX-XXXX): *
 		Residence Fax (XXX-XXX-XXXX) :
  
Email Address: *
Name of Business or Employer: *
 		Type of Business: *
 		 
Position with Business or Employer: *
 		Sole Proprietor?: Yes   No
Business Address:
Business City:
Business State:
Business Zip Code:
Business Country:
Years at this Business/Employer: *
Business Phone (XXX-XXX-XXXX) :
Business Fax (XXX-XXX-XXXX) :
Mail to be sent to: Your Home    Your Business    Do Not Mail
BANK ACCOUNT INFORMATION
(Only PERSONAL CHECKING accounts or SOLE PROPRIETOR business accounts will be accepted.)
Primary Bank: *
 		Account Number: *
 		Personal    Sole Proprietor
Sole Proprietor Account Title:
ABA/Routing Number:
Additional Bank:
Account Number:
Personal    Sole Proprietor
Sole Proprietor Account Title:
ABA/Routing Number:
ADDITIONAL COMMENTS
 I agree with our Terms and Conditions for applying for credit.
SUBMIT CREDIT APPLICATION