J.B. International Co. dba HandBagLine.com
600 E. Washington Blvd. Los Angeles, California 90015
Tel:(213)248-4213 Fax:(213)749-1517 Email: support@handbagline.com

Credit Card Authorization Form
1. Please fill out, sign and fax this form to J.B. International Co. fax 1-213-749-1517.
2. If this form is not faxed back within 3 business days, the pending order will be automatically cancelled.
3. You agree NOT to dispute charges with regard to quality matter of our merchandise unless you inform J.B. International Co. within 5 business days from the receipt of the products by submission of this form.
APPLICANT'S INFORMATION
Last Name
 _______________________
First Name
__________________________
Company Name
__________________________________________________
I hereby authorize J.B. International Co. to keep my credit card information on file so that it can be charged for purchases from your company and agree to J.B. International Co.'s terms and conditions.

Name of cardholder _______________________________ Date _________________

Signature _____________________________________________
CREDIT CARD INFORMATION
Card type
Visa     Mastercard
Card category
Corporate card     Personal card
Credit card number
 _________________________________________
Expiration date
_______ /________
    (Month/Year)
Card security code
______________________________
(Last 3 digit number on the back of the card)

Name

 _____________________________
(As appeared on credit card)
Billing Address
(Credit card billing address on the card statement)
 
Street _______________________________________
City _______________________ State ___________________
Zip/Postal code ____________________
JB International Co. will keep all information entered on this form strictly confidential.