Disclosure Statement
Example
Subtotal: $20.00
Surcharge: $0.80
Total of all fees and charges: $20.80
Acknowledgement
Please be aware that we will add a surcharge of $0.80 to this bill payment. This surcharge is not greater than our total cost of accepting credit cards. By authorizing the payment of your bill, you are authorizing us to charge your credit card for a total of $20.80, subject to our terms of service and privacy policy.
Do you agree to this charge, including the surcharge?
If no: OK. You will need to make alternative payment arrangements.
If yes: Thank you. I will now process your payment.
