Waiver to forfeit consumer protection credit card rights.



The undersigned hereby state that by purchasing the merchandise from the vendor, I am voluntarily giving up my consumer protection rights stipulated in

Truth In Lending Act (TILA) and its amendments, such as the Credit Card Accountability Responsibility And Disclosure Act of 2009 (Credit CARD Act of 2009) and their related articles.


In case a dispute is filed, I am authorizing my bank or card company to release the disputed funds to the merchant immediately and close the dispute.



Consumer’s name: