CREDIT CARD CHARGE AUTHORIZATION FORM
This is a one-time agreement to charge the credit card for the said amount,
total includes any and all shipping and handling.
By signing this authorization, it implies that you are giving us permission to run your card number for either merchandise and or services. There will be no refund on shipping.
BILLING ADDRESS:
IF YOU WANT IT SHIPPED TO A DIFFERENT LOCATION, PLEASE FILL IN THE PROPER SHIPPING ADDRESS BELOW WITH PHONE CONTACT:
Mills Auto Parts FB Page