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I have read the Terms and Conditions and agree to them.

The cardholder, having made application for (or renewal of) a surety, or bail bond(s), to be issued by Chances Bail Bonds, a California insurance licensed bail agent, hereby authorizes Chances Bail Bonds, its employees, agents or representatives to charge the bail bond premium/renewal entered into this online form.</p><br /><br /> <p>The authorization information below shall be held on file in strict confidence. The credit card may be checked for validity before issuance of the bail bond(s). The card number may be used to pay the premium when it becomes due until this authorization is cancelled in writing by the undersigned, provided, however, as long as the bail bond obligation undertaken by Chances Bail Bonds is in force, this authorization will remain in full force and effect until such time as the bail bond obligation referred to herein is fully exonerated or discharged.</p><br /><br /> <p>The cardholder agrees that Chances Bail Bonds may pursue all means possible to collect on obligations owed to Chances Bail Bonds. The undersigned further agrees to authorize Chances Bail Bonds to submit credit card charges using the credit card entered into this online form to recover all payments due and all other unpaid amounts for the payment of premiums, premium renewals or forfeitures.</p><br /><br /> <p>I hereby declare that I am the holder of the above credit card to use it to pay premium(s) or renewals for Bail Bonds provided by Chances Bail Bonds. I also understand that this credit card may be charged for any future invoice for any and all costs associated with this/these bail bond(s).