GO GO AUTO PARTS
7709 Kingsbury Rd. 
Delton, MI 49046

CREDIT CARD SALE TRANSACTION FORM:
==================================

Full Name on Card & Business name: 

Phone#:

Type of Credit Card (Visa, Mastercard, or Discover): 

Credit Card #: 

Expiration Date: 

Service Code (last 3 numbers on the back of card): 

C/C Billing and Shipping Address (must be the same): 

Tax ID # (if applicable): 


TERMS AND AGREEMENTS:
======================

ˇNo refunds on any shipping (freight) charges to or from for any reason.

ˇAll computers are sold as is with no refunds.

ˇYear and Make of Vehicle: 

ˇPart Purchased: 

ˇTotal agreed price to be paid:

ˇNo 3rd party shipping.

ˇAll returns must be accompanied by copy of the invoice and credit card information or no refund.

ˇAll parts must have Go Go Auto Parts stock number on them for any refund.

ˇAll refunds are subject to Go Go Auto Parts approval.

ˇAll information must be accurate or your funds will be held due to credit security.


Please sign & date this form below & fax back to 269-623-6075. Thank You.

Date: _____________________.

Signature: ____________________________________ Print: _____________________________________



Please call us at 269-623-2775 after you fax it back to us, to make sure it was received. Thank You!