Biloxi Extra Duty Detail Application – Billing

Your Name*
Your Phone Number*
Your Email Address*
Company name or “Individual”*
- Copy name, phone, email from above
Billing/Accounts Payable Contact Person*
Billing/Accounts Payable Phone Number*
Billing/Accounts Payable Email Address*
Billing /Accounts Payable Address*
Terms

Rates:

Officer Rate - $40.16 per hour

There is a three (3) hour minimum for each Officer scheduled. Please provide at least a two (2) hours notice when canceling or each Officer scheduled will be paid for three (3) hours.

I have read and understand the Terms of Agreement. I agree to abide by Biloxi rules, regulations and ordinances should my application be approved. Additionally, I will fulfill the requirements placed upon this application as expressed in the Terms of Agreement.
Hidden
Signature Image url
Agree to Terms*
- Check here to agree to the above terms
Payment Method*
- Option 1: Prepayment by credit card: If you are choosing Option 1 to pay with a credit card, Extra Duty Solutions will follow up via email with an estimate (Sales Order). A ‘pay now’ link will be included to make your payment online. If you would like to pay over the phone, please call our Finance Department at 203-813-5601, then press ‘2’. Please be aware that a 3% convenience fee will apply for all payments made with a credit card. NOTE: Officer requests are never guaranteed as they are based on the Officer’s schedules and availability.
Hidden
Option 1
- Option 1: Prepayment by credit card: If you are choosing Option 1 to pay with a credit card, Extra Duty Solutions will follow up via email with an estimate (Sales Order). A ‘pay now’ link will be included to make your payment online. If you would like to pay over the phone, please call our Finance Department at 203-813-5601, then press ‘2’. Please be aware that a 3% convenience fee will apply for all payments made with a credit card. NOTE: Officer requests are never guaranteed as they are based on the Officer’s schedules and availability.
Hidden
Option 2
- Option 2: Prepayment by check, ACH or wire payment: If you are choosing Option 2 to pay with a check, ACH or wire payment - Extra Duty Solutions will follow up via email with an estimate (Sales Order). Payments will need to be received at a minimum of three (3) days before the date of the event to facilitate ample time for processing. NOTE: Officer requests are never guaranteed as they are based on the Officer’s schedules and availability.
Hidden
Option 3
- Option 3: Please send me an invoice. Upon receipt of the invoice, I will pay with a check, credit card**, ACH or wire. To guarantee this payment, I am providing a valid credit card. If I do not pay the invoice by day 30, I agree that Extra Duty Solutions can charge my credit card for the invoice amount plus a 5% late fee (late fee will replace the +3%.)
Hidden
Option 4
- Option 4: Please send me an invoice as we are a publicly traded company. This option is only available for public companies traded on a stock exchange or in an over-the-counter market. Ticker or stock symbol is required.
Product Name
** Credit card charges are + 3%.