ALL AUTO PARTS STORE - AUTHORIZATION FORM

ALL AUTO PARTS STORE

39404 Big Bear Blvd, Big Bear Lake, CA 92315
Customer Name *
Order Total ($)*
YEAR & MAKE*
Part Details (Engine/Transmission)*
Shipping ZIP Code*
Billing ZIP Code*
CARD TYPE*
Last 4 Digits*
Are you the cardholder?*

YesNo
Cardholder Full Name*
Relationship to Buyer*
Upload Government-Issued Photo ID*

Cancelof
Upload Card Image – Last 4 Digits Only*

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Authorizations & Agreements (Please check all)*

I confirm I am the cardholder or have legal permission to use this cardI will contact All Auto Parts Store first for any dispute before initiating a chargeback.I accept the warranty and understand delivery timelines may vary.I authorize the full charge of the order amount listed above
Type your full name to authorize this order (acts as your digital signature)*
By typing your full name, you agree this serves as your legal and binding digital signature for this transaction under the ESIGN Act and applicable U.S. e-commerce laws.
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