Market Limit Application

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Apr
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Departing
Apr
28
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Market Limit Application

Customer Information
Bank Account Information (Checking Account Only)

ENDORSES RESPONSIBLE GAMING: At your request, we will provide you with information on our self-limit program. We will also cancel or limit your access to marker signing privileges at your written request. If you or anyone you know may have a problem gaming responsibly, please call the 24-hour Problem Gamblers HelpLine at 1-800-522-4700 . I give TREASURE ISLAND LLC and its affiliates authorization to obtain and verify my financial information (including but not limited to account balance information) from any source, obtain my financial and employment history, and exchange information with others about my financial and account experience with TREASURE ISLAND LLC and its affiliates. I agree not to hold any of the entities responsible or liable for the information released, nor TREASURE ISLAND LLC and its affiliates for its use of any such information. I agree that TREASURE ISLAND LLC and its affiliates may retain and use the information on this application and any information it receives based on my authorization whether or not I am granted marker signing privileges.

As a condition to being granted marker signing privileges, I agree to sign credit instruments, AKA markers or checks (hereinafter "markers") in the amount of the funds (e.g. chips, cash, tokens, etc.) issued to me. Further, I authorize TREASURE ISLAND LLC and its affiliates to complete any of the following information on those markers: (1) name of payee, (2) a date, (3) name, account number and/or address of any of my banks and financial institutions, (4) electronic encoding of the above, and (5) as otherwise authorized by the law. The information inserted may be for any account from which I now or may in the future have the right to withdraw funds, regardless of whether that account now exists, and whether I provided the information on the account to TREASURE ISLAND LLC and its affiliates. I REPRESENT THAT AT THE TIME I SIGN ANY MARKER, I HAVE ON DEPOSIT IN ACCOUNTS ON WHICH I AM AN AUTHORIZED SIGNATORY FOR ALL PURPOSES, WITHOUT RESTRICTION, FUNDS SUFFICIENT TO PAY SUCH MARKER UPON DEMAND OR PRESENTMENT.

I acknowledge that irrespective of any currency exchange laws in the country in which I reside, I have the ability and intent to legally pay through my bank or financial institution the funds represented by the markers signed by me and given to TREASURE ISLAND LLC and its affiliates. I also acknowledge that an independent agent collecting front money deposits or payments on my outstanding balance is my agent and not an agent for TREASURE ISLAND LLC or any of its affiliates.

I agree that each marker I sign is a separate transaction. If I receive the funds before I execute a marker, I promptly will sign a marker when presented to me in the amount of the funds I received.

I agree that Nevada law exclusively applies to these transactions, that I consent to the corresponding jurisdiction for any dispute arising out of or related to any of the above that may be commenced in a state or federal court sitting in Clark County , Nevada, and that I waive any requirement of presentment and waive any objection I may have to jurisdiction in such courts.

I agree that Nevada law exclusively applies to these transactions, that I consent to the corresponding jurisdiction for any dispute arising out of or related to any of the above that may be commenced in a state or federal court sitting in Clark County , Nevada, and that I waive any requirement of presentment and waive any objection I may have to jurisdiction in such courts.

In addition to any amounts authorized by law, I will pay interest at the rate of eighteen percent (18%) per annum, unless prohibited by Nevada law, and in such case at the highest amount permitted by Nevada law, from the date of issuance of the marker (if dishonored by a financial institution) and all costs of collecting, including attorney's fees and court costs

I agree that the information set forth above is true and accurate to the best of my knowledge.

"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 the 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."

Please verify that you have read and agree to the above disclosures by typing the word YES in the field below.