Credit Card payment form
Cardholder name
First Name
Last Name
Address
Street Address
Street Address Line 2
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Format: (000) 000-0000.
Payment is being made for the following person
First Name
Last Name
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Description
Credit Card
I hereby authorize American Bail Bonds/Fast Action Bail Bonds to charge my credit card in the amount above for the purpose of posting bail for the above referenced client.I am providing a copy of my credit card and identification and I am submitting it to American Bail Bonds/Fast Action Bail Bonds since I am unable to present the card in person.I agree not to dispute any charges or attempt any charge backs on the below listed card.
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