Credit Card Payment Information

Please fill all fields with required information.

   
  Same as above if no retainer was signed
   

Billing Address

   
   

Credit Card

   
3 digit number on back of Visa/MC, 4 digits on front of AMEX
   
3% service charge
   
* By checking this box, I explicitly and unequivocally authorize the Law Office of Alena Shautsova to charge my credit card listed in this form, on or after the indicated date, in accordance with the terms set in the form. I understand that by doing so I give permission to the Law Office of Alena Shautsova to charge my card for the amount and with the frequency indicated in the form.






Watch Our YouTube Channel Free Legal Videos

We use cookies to deliver our online services. Details of the cookies and other tracking technologies we use and instructions on how to disable them are set out in our Cookies Policy. By using this website you consent to our use of cookies.