Clipboard with pencil checking boxes.

This is an example of an open fee form
Open Amount Fee
Used to contact you in case of problem with payment
Payment method
Payment Details
Payment amount
Credit Card Processing 2.00% (of subtotal)
Credit Card
Municipal Online Payments Fee (Credit Card) $1.25
Total
Announcement and Forms Link

Hello - Please process according to the instructions below.  
Contact us
555-555-5555