Payment Consent Form

About this template

Ensure that your clients and customers are giving their written consent for charges your company makes with this Payment Consent Form from Jotform Sign. Outline desired payment methods, the date the payment will occur, required client contact information, and other pertinent information. Create, customize, and send your consent form to your clients to collect their e-signatures and authorization.

Making changes to this Payment Consent Form is quick and efficient with our completely online form building process. Drag and drop to upload your company’s branding or logos, add or remove signature fields, change fonts and colors, and more. You can even create an automated signing order to ensure your form gets seen by the right clients, in the right order.

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The e-sign templates here are for informational purposes only. Jotform is not providing legal, financial, or other advice, or implying that the forms are legally valid in all or any jurisdictions. Before using any such template, consult an attorney and/or other applicable professionals to make sure that the form meets your needs, legally and otherwise.