Credit Card Authorization 2021

"*" indicates required fields

Client name*

First Last

Email*

Phone

Amount to be charge $*

I hereby authorize Alexis Bail Bonds to charge my credit card in the above mentioned amount for the purpose of posting bail for the above referenced client. I also agree that should the client fail to appear for court, Alexis Bail Bonds is authorized to charge my credit card for all costs involved. Any unposted bonds are charged at a rate of $50 per bond.

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consent

Signature*

Date*

Credit Card Information

CREDIT CARD #*

Card type*

VISA

M/C

AMEX

DISCOVER

Ex date:*

CVV*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

DL#*

SS#*

I understand that I have signed legally binding documents. It is my responsibility to let ALEXIS BAIL BONDS know immediately if I change my address, phone number, or place of employment. It is my responsibility to ensure that the defendant is in court every time s/he is scheduled to be there. It is my responsibility to contact ALEXIS BAIL BONDS immediately if defendant is put back in any jail for any reason. If the defendant misses ANY court appearance for ANY reason, ALEXIS BAIL BONDS can demand immediate payment FROM ME for the full bond amount, plus court costs, plus attorneys' fees, plus any costs to return the defendant to jail. ALEXIS BAIL BONDS can sue me to collect this if I do not pay it immediately. ALEXIS BAIL BONDS will add additional fees to the amount I owe to pay for filing fees to sue me.

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