Santa Barbara Loan & Jewelry Credit Card Form

To use a Visa or Master Card (the two we take) we need you to do the following:

PRINT THIS SHEET 
and fax to: Fax: (805) 966.4774 

eBAY #__________________Item:_________________________ 

Full Name on Credit Card: ___________________________________ 

Credit Card Number:_________________________________________ 

Expiration Date of Card:______________________________________ 

I authorize Santa Barbara Loan and Jewelry to make a ONE TIME charge of:

$_________________To the above Credit Card (includes Shipping etc). 

X______________________________________  Card Holder Signature 

Address:___________________________________________________

Shipping Address:___________________________________________

State______  Zip________ 

Phone or Fax #______________________________
Where we can reach you in case of a problem, no salesman will call nor number given out.

If you have any questions call (805) 966 6264 and ask for Brett or Woody one of us should be at this phone between 10am to 5:30pm Pacific Time. If not tell the answering person it's about e-bay and we will call you back as soon as we get the message (if you desire). 

Our Fax (805) 966.4774

BE SURE WE HAVE YOUR SHIPPING ADDRESS!