Butcher's Block | Big Bear Lake, CA | Credit Card Charge Authorization

Credit Application

Credit Card Charge Authorization

BUTCHER’S BLOCK & BUILDING MATERIAL - CREDIT CARD CHARGE AUTHORIZATION

Card Type

Visa

MasterCard

Discover

Credit Card #

Card Expiration Date

CVC Number on Back of Card

Starting Effective Date required

Ending Effective Date required

Name on Card

Billing Address

City

State

Zip

Cardholder Phone Number

Cardholder Email

Person/s Authorized to Use This Card:

Jobsite Address

City

State

Zip

I hereby authorize Butcher's Block and Building Material at 41860 Big Bear Blvd, Big Bear California 92315 to charge purchases made by:

Authorized Users

to the above credit card.

Signature of Card Holder

Card Holder Name

Date required

This is a Credit Card Charge account ONLY, not a Butcher's Block house charge account. The customer and/or the customer's employees are responsible for keeping their receipts and all records. There are NO refunds without a receipt. Butcher's Block and Building Material is relieved of all responsibility for the customer's record keeping.

I accept the Terms of Use and acknowledge the Privacy Policy.*

Thank You! YOUR CHARGE AUTHORIIZATION HAS BEEN SUBMITTED! PLEASE DO NOT RE-SUBMIT