CALL US  
713-847-9902

1st Advantage Bail Bonds, LIC# 74485

2429 Telephone Road

Houston, Texas 77023


1st ADVANTAGE BAIL BONDS, LIC#74485

2429 TELEPHONE ROAD

HOUSTON, TEXAS 77023

PHONE: 713-847-9902/FAX: 713-847-9393

CREDIT CARD AUTHORIZATION FORM

 

Date: ______________                                

Premium:        _________ 

Posting:          _________  

Travel:            _________

Misc.:           _________

TOTAL AMOUNT BEING CHARGED: ___________

Credit Card : Visa  OR  MasterCard <— circle one                    

Credit Card Number: ________________________________________                                                                                       

Expiration Date:____________________________________________                                                                                                

 

*Non Refundable Premium on Executed Bond                      *Non Refundable Travel Fees

*$75.00 Administrative Fee for every bond returned Unexecuted         *INS Not Excluded

 

I the undersigned authorize 1st Advantage Bail Bonds to charge my credit card listed above for services rendered.  I certify that I am authorized to incur charges on this credit card and that all information given on this form is true and correct.  I understand that there will be no refund of any fees for Bond(s) or Administrative Fees.  In the event that the defendant does forfeit his bail bond, it is expressly agreed and provided that upon default in the punctual payment of this note when it becomes due and payable we have the authorization to charge courts costs, administrative fees, and recovery fees to this credit account.

 

X                                                                                       

Signature

X__________________________________________                                                                                   

Print Name

X__________________________________________                                                                                    

Billing address for this credit card

X__________________________________________                                                                                     

Billing City, State and Zip Code for this credit card

MUST RETURN/FAX ATTACHED WITH:

-YOUR DRIVER’S LICENSE / I.D.

-FRONT AND BACK OF CREDIT CARD