Buellton, CA · Santa Barbara County
Credit Card Authorization Form
Buellton applicants use this form to authorize the city to charge a specified amount to a Visa or Mastercard for a stated reason.
What this form is
This form authorizes the City of Buellton to charge a specified amount to a Visa or Mastercard and asks for the reason for the charge. The applicant provides card and account details, contact information, an address, and a signature. The form does not state when it is required or give submission instructions.
Who needs it
A person authorizing the City of Buellton to charge a specified amount to a Visa or Mastercard can complete this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it identifies no notarized or sworn attachment, and the form provides an applicant signature line.
How to submit this form
- 1
Download The Form
Download the Credit Card Authorization Form.
- 2
Complete The Form
Enter the charge amount and reason, card and account details, contact information, addresses, and applicant signature.
- 3
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Credit Card Authorization Form do?
- It authorizes the City of Buellton to charge a specified amount to a Visa or Mastercard and asks the applicant to state the reason for the charge.
- What information does the form ask for?
- It asks for the charge amount and reason, card and account details, applicant name and signature, addresses, telephone or cell number, and email address.
- Do I need a notary for the Credit Card Authorization Form?
- No. This document is signed without a notary; it identifies no notarized or sworn attachment, and the form provides an applicant signature line.
- How do I submit the Credit Card Authorization Form?
- Submit it to the city department named on the form; check the city website for current contact details.