<%@ Page Language="C#" AutoEventWireup="true" CodeFile="CCProcessing.aspx.cs" Inherits="CCProcessing" %> <%@ Register Src="header.ascx" TagName="header" TagPrefix="uc1" %> Florida Bail Bonds Bondsman at BailYes.com BailBond Companies Agents
Enter CC Processing Information
Required Fields in Yellow

Please Enter Your Card Information

  • Card Type:
  • --Select Card-- Visa MasterCard Amex Discover
  • Card Number:
  • CVV Number:
  • Expiration Date:
  • --Month-- January February March April May June July August September October November December  
  • Amount Charged:

Billing Information
As it appears on your credit card

  • First Name:
  • Last Name:
  • Company:
  • Street Address:
  • City:
  • State/Province:
  • ZipCode:
  • Country:

Email and Phone Number
Where you wish to be contacted about your purchases. This will also serve as your customer ID.

  • Email:
  • Phone Number:(xxx-xxx-xxxx)

Defendant Details

  • Defendant's First Name:
  • Defendant's Last Name:
  • Bond Amount:
  • City/County Where Jail Is Located:
  •  
  • State Where Jail Is Located:

Please Provide Additional Information

  • Comments:
  • Where Did You Hear About Us?:
By Submitting This credit card authorization form you are also granting permission to use your credit card informations on file for any additional charges that may arise in the future pertaining to your obligations as an indemnitor and stated in the bond indemnity agreement for this bail bond.You also accept and agree that all of the bond terms and financial obligations stated in the bailbond indemnity agreement are made part of this Credit Card Authorization Charge Form for future charges.This authorization is cancelled only when all obligations of the bond are satisfied and bond is discharged.Facsimile/s and/or copies are considered the same as originals, serving as legal proof of authorization of all charges now and in the future.

NOTE: Charges are subject to a processing fee of 3% that will be subtracted from any refunds or returns owed, additionally a $100.00 application fee may be applied for any cancellations.


 I have Read and Agree to all of the above terms.