All Services provided by National Pretrial Technology and Services LLC, hereinafter National Pretrial

I authorize National Pretrial to charge the credit card specified below for the full amount indicated as a one-time payment on or after the specified date. This authorization applies solely to the payment for the pretrial monitoring services, as agreed.

By signing this form, I confirm that I am the authorized user of the credit card entered and have the authority to approve this transaction. I further agree not to dispute the charged amount with my credit card company as long as the transaction corresponds to the terms described in this authorization. This payment authorization is valid only for the specified transaction and amount.