I understand that Louisiana law prohibits persons under the age of 21 from engaging in gaming activity. I also certify that I am 21 years of age or older. I authorize Boomtown to conduct such investigations pertaining to the above information as it deems necessary in its sole discretion for the approval or rejection of my Customer Service Agreement. I am aware that this application is required to be prepared in accordance to the regulations of the Louisiana Gaming Control Board and the Riverboat Gaming Commission and I may be subject to civil or criminal liability if any material information provided by me is willfully false. I authorize Boomtown and its affiliates, directly or through its vendors, to conduct such investigations related to the above information as deemed necessary for the approval of my application for a marker line. I certify that I have reviewed all of the information provided above and that it is true and accurate. I hereby waive any defense to any such action based on lack of personal jurisdiction or improper venue. I agree to submit to the personal jurisdiction of the state and federal courts sitting in New Orleans, Parish of Jefferson, State of Louisiana, should legal action be taken by Boomtown to collect any outstanding balances owed by me to Boomtown and agree to pay all costs of collections including attorney's fees. I agree to pay a fee of $15 for each marker returned unpaid by my bank. I waive any right, statutory or otherwise, to stop payment on any instruments issued in connection with markers issued to me. I agree to repay all sums that become due and owing by me to Boomtown Casino New Orleans, hereafter known as Boomtown, arising out of markers issued according to the guidelines set forth by Boomtown.

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