AGREEMENT FOR INMATE VISIT

I, _____________________, whose name is subscribed below, have paid _____________________, Attorney at Law, _____________, Houston, Texas 77___, the sum of $ _______, receipt of which is hereby acknowledged, in order to have said attorney, or an attorney authorized by him (hereinafter “Attorney”) visit and confer with the person whose name appears below (hereinafter “Inmate”) located in:

( ) 	the Harris County Main Jail, 1200 Baker St., Houston, Texas 77002
( ) 	the Harris Jail, 701 N. San Jacinto St., Houston, Texas 77002
( ) 	the Houston City Jail; or
( )	 __________________________________________________

I understand that the above amount is NON-REFUNDABLE if Attorney has taken one or more substantial steps toward accomplishments of the Inmate Visit. Specifically, if Attorney leaves his office in good faith and attempts but fails, through no fault of his own, to visit the named jail inmate at the jail or Court holdover cell, no part of the fee paid shall be refunded to either the inmate or the payor. If the payor changes his or her mind after signing this agreement and decides that Attorney should not visit the named inmate, and if Attorney has taken no substantial steps to visit the Inmate, then a “trouble charge” equal to Twenty Percent (20%) of the Inmate Visit Fee will be assessed and the balance returned to the payor.
I acknowledge that I have read and understood this agreement, and further understand that the money so paid and receipted by this Agreement is NOT A RETAINER FEE to represent the named Inmate in any court case, but will be applied to any fee agreed upon later among the parties. Agreement for representation in any case will always be evidenced by a separate written Retainer Agreement signed by the parties or an authorized representative and made after the Inmate Visit.
I have supplied to Attorney the following information and verify that it is accurate to the best of my knowledge and belief:

INMATE NAME: __________________________________________________	DOB: __________________________________________________
LOCATION: _______________________________________________________	SPN: __________________________________________________
CHARGE: __________________________________________________________	ALIAS: ________________________________________________

SIGNED and AGREED TO this the ____ day of _________________, 20___.

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Attorney 							Payor’s Signature
								__________________________________________________________
								Payor’s Name Printed 
								__________________________________________________________
								Payor’s Telephone Number
								__________________________________________________________
								Payor’s Address

______________________________________
City/State/Zip