CASINO CREDIT APPLICATION

Please fill in the fields below to complete your Casino Credit Application Form.

Ship Name: *

Ship Name is required

Sail Date: *

Sail Date is required

Credit Limit Requested: *

Credit Limit Requested is required

(Minimum 10,000)

Are you applying for joint credit with your spouse? *

Yes No

This field is required

Personal Information

First Name: *

First Name is required

Middle Name:

Last Name: *

Last Name is required

Alias Name:

Country: *

Country is required

Address: *

Address is required

City: *

City is required

State: *

State is required

Zip Code: *

Zip Code is required

Preferred Mailing Address:

Own / Rent:

Number of Years:

Phone: *

Phone is required

Email: *

Email is required

Date of Birth: *

Date of Birth is required

Social Security Number: *

Social Security Number is required

Drivers License Number:

State Issued:

Passport Number:

Country Issued:

Employment and Business Information

Are you retired

Business Name:

Country:

Business Address:

City:

State:

Zip Code:

Business Phone:

Type of Business:

Position:

Length of Time with Business:

Gross Annual Income/Salary:

Bank Information (Personal Checking Account Only)

Bank #1 Name: *

Bank #1 Name is required

Bank #1 Officer:

Bank #1 Phone: *

Bank #1 Phone is required

Bank #1 Country: *

Bank #1 Country is required

Bank #1 Street Address:

Bank #1 City: *

Bank #1 City is required

Bank #1 State: *

Bank #1 State is required

Bank #1 Zip:

Bank #1 ABA Number: *

Bank #1 ABA Number is required

Bank #1 Account Number: *

Bank #1 Account Number is required

Primary Account

Bank #1 Account Number: Secondary Account

Bank Information (Business Checking Account - Sole Proprietor Only)

Bank #2 Name:

Bank #2 Officer:

Bank #2 Phone:

Bank #2 Country:

Bank #2 Street Address:

Bank #2 City:

Bank #2 State:

Bank #2 Zip:

Bank #2 Account Number: Primary Account

Bank #2 Account Number: Secondary Account

By clicking submit you agree to the terms below:

RELEASE AUTHORIZATION TO ALL FINANCIAL INSTITUTIONS, BANKS, CREDIT REPORTING AGENCIES AND CASINOS.

I/we hereby authorize NCL (Bahamas) Ltd., d/b/a Norwegian Cruise Line, and any of its affiliates to verify all of my employment, financial and other information from any source in evaluating this request for an extension of credit. I/we further authorize NCL to order credit report(s) from any credit reporting agency. I/we understand that any and all checks signed by me/us may be micro-recorded, deposited and charged directly against any or all of the bank accounts designated above. A facsimile or other copy of this authorization will be considered as effective and valid as the original. I/we hereby release and hold harmless any financial institutions or correct or former employers for any information released. I/we the undersigned, represent that all statements made by me/us in this agreement are true and correct, and I/we further understand that knowingly providing false, inaccurate or misleading information on this Credit Agreement may subject me/us to criminal and/or civil liability.

I/we the undersigned, agree to be jointly and severally liable for any and all extensions of credit made to me and/or Co-applicant. This Agreement shall be governed, construed and interpreted in accordance with the laws of the State of New Jersey. The courts of the State of New Jersey shall have jurisdiction, and I/we consent and submit to the exclusive jurisdiction of such courts, to hear and determine any claims or disputes pertaining directly to or indirectly to this Agreement. I/we the undersigned, agreed that in the event this extension of credit need be placed with an attorney or agency, I/we will pay all costs of collection, including but not limited to, reasonable attorneys' fees, interest at one and one-half percent per month or the maximum rate allowed by law (whichever is higher), court costs, filing fees, and any bank fees incurred through appeal.