Payment Form Defendant's Name* First Last Payment Type*New BondPayment on AccountAgent*Select an AgentJanssen AaronDonny CatesDave DoyenDJ DoyenTracy EllingsonTom GoffDonovan HarrisStephanie HenningsKarl HylleJay HyvareJohn KischGay LaRoqueLeisa MageeOliver McKayGrant MilesMike NeillMary NonakaDianna O'BrienJon OtterstromAlberto PatinoBeth SmithChris WefelDave WetzbargerJonathon WetzbargerPhone*Email* Payment Amount*Please enter a number from 1 to 10000.Enter an amount ($1.00 - $10,000.00)Total3% fee will be added to your paymentBilling Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please Initial* I hereby authorize Bail Bonds Doctor, Inc. to charge my credit card in the amount listed above as "total" listed above. I agree that I will not initiate any dispute on this charge for the reason of "No Cardholder Authorization"Please Initial* I agree that this authorization remains in full force and effect until such time as the bond obligation referred to herein is fully exonerated or discharged. I understand this credit card may be charged for any future invoice for any and all premium and/or forfeiture costs associated with this/these bail bonds.Signature*Full Name Signed*