Se Habla Español

English EN Spanish Se Habla Español

CREDIT CARD AUTHORIZATION FORM

  • Contact Details

  • Payment Details

  • Agreement

  • Applicant agrees that A-1 Bonding Company may pursue all avenues of collection, including the use of collecting agencies, and authorizes the Surety to submit credit card charges using the card listed above to recover all payments due and all other unpaid amounts for payment of premiums. I understand my credit/debit card will be charged whatever fees incurred in the event the defendant fails to show up in court. Fees include but no limit no paying for court costs, attorney fees, apprehension fees, etc.

    I hereby declare that I am the holder of the above credit card, or have been authorized by the holder of said credit cards, to use it to pay premium(s) provided by A1- Bonding Company. I also understand that this credit card may be charged 'for any future invoices renewal premiums that may come due and payable.