One-click Transactions Credit Card Payment Agreement (Sample)

You authorize one-click transaction scheduled charges to your credit card. You will be charged the amount indicated below for the one-click transaction. A receipt for each payment will be provided to your e-mail and the charge will appear on your credit card statement. You agree that no prior notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected. You will be notified of any modification of this agreement and notice of insufficient balance for one-click transaction via e-mail.

Here is the sample:

Billing Information

Billing Address

Phone #

City, State, Zip

Card Details

☐ Visa☐ MasterCard ☐ JCB

Cardholder Name

Account/CC Number

Expiration Date/

CVV

Zip Code

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify clevguard (Copyright © 2021 clevguard.com. All Rights Reserved) in writing of any changes in my account information or termination of this authorization at least 7 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I acknowledge that the origination of Credit Card transactions to my account must comply with the provisions of UK. law. I certify that I am an authorized user of this Credit Card and will not dispute these scheduled transactions; so long as the transactions correspond to the terms indicated in this authorization form.

I agree to authorize the one-click transaction ☐

DATE