The Right Part. At The Right Price. Guaranteed. 800-342-0713

Credit Card Payments

PLEASE COMPLETE THIS FORM
TO PAY FOR YOUR TRANSACTION  BY CREDIT CARD
Questions? Call 502-368-4040 or toll-free 800-342-0713

 

mm/dd/yyyy
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Part Requested

Ship to: (if different than billing address)

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Customer Authorization

I hereby authorize Grade A Auto Parts to charge my credit card for the above amount. I understand that this form with my signature is a binding agreement for this order. I understand this is not a receipt but an authorization. I understand my warranty will be stated on the actual receipt. Freight is NOT refundable for any reason.
To sign, type your name here.