Home / Order Authorization Form
Phone & shipped orders
Credit Card Order Authorization
Ordering by phone or having a part shipped? Print this form, fill it out completely and fax it back with a clear copy of your card and ID.
Tubbs Used Auto Parts2215 E. Indian River Road
Norfolk, VA 23523
Phone (757) 545-8418 · Fax (757) 545-7236
No order will be placed, held or shipped without this form filled out completely and faxed back with a clear copy of the credit card and ID.
Order detail
Card holder information
Shipping information
Authorization
I hereby authorize Tubbs Used Auto Parts to charge my credit/check 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.
Place credit card copy here
Place photo ID copy here