Credit Application

Please complete the following information to apply for an Atlantis Casino Resport Spa Credit Line.

* = Required Field

General Information

*Expected Date of Arrival*

*Your First Name*

*Your Last Name*

Your Middle Initial Here

*Date of Birth*

*May Spouse sign on Credit Line?*

First Name of Spouse Here

Last Name of Spouse Here

Middle Initial of Spouse Here

Spouse's Date of Birth Here

*Email*

*Phone*

Mobile Phone

*Preferred Phone Number?*

*Physical Home Address*

*City*

*State*

*Zip Code*

Mail Sent To:

*Max Credit / Visit*

Mailing Address (if different from above)

Address

City

State

Zip Code

Business/Employment Information

If retired please list prior employer.

*Employer*

Type of Business Here

Position with Firm Here

Number of Years with Firm Here

Mailing Address

City

State

Zip Code

Phone

I understand I must provide all the information requested on this application and I certify that such information is accurate. I authorize you to verify the information on this application, as well as my checking account number(s), and to receive and exchange information about me, including requesting reports from consumer reporting agencies. I authorize you and your affiliates and subsidiaries to contact these sources for information at any time, to use information about me, including information from this application and from consumer reports, for marketing and administrative purposes and to share such information with each other.

* I agree to the terms listed above*

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Tiki Night with Planteray Rum

Gift Cards

Exclusive Spa Treatments

Monarch Rewards

Atlantis Sports NV App

ballrooms

Catering Services

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Special Offers & Packages

Memorial Day Dining

Tiki Night with Planteray Rum

Gift Cards

Exclusive Spa Treatments

Monarch Rewards

Atlantis Sports NV App

ballrooms

Catering Services

Gift Cards

Credit Application

General Information

Mailing Address (if different from above)

Business/Employment Information

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Credit Application

General Information

Mailing Address (if different from above)

Business/Employment Information