Credit Card Authorization 2021 Client name* First Last Email* 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.HiddenconsentI 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.Signature*Date* MM slash DD slash YYYY Credit Card InformationCREDIT CARD #* Card type* VISA M/C AMEX DISCOVER Ex date:* MM slash DD slash YYYY CVV* Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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.HiddenTerms and ConditionsI 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.Consent* I agree to the terms and conditions.
