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Please Note: Starting in 2013, we are no longer able to ship to any other address, other than the billing address on your credit card. We apologize in advance, for any inconvenience. (below, you will be asked to fax and or email a copy of your photo ID, and the credit card we are processing. this step is mandatory). Do not proceed with this form, if you are not able to do so. Contact your sales representative, for any questions or concerns.
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I understand, and wish to continue
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If you do not wish to continue, this online form, we have provided you with a faxable paper form here: http://aaamanagement.net/credit_card_billing_form.doc
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Who was your salesman?
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Personal Information:
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Your Name:
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You Phone Number:
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Your Email Address:
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You Shipping Address: (must be the same as billing)
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Please describe the part, you are ordering in full detail. Please include any special instructions.
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The vehicle's Date, Make, Model, etc. (please include any special editions, if it applies)
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Billing Information:
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Type Of Credit Card:
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Credit Card Number:
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Credit Card Exp Date
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Credit Card CID Number (3-4 digit):
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Name On Credit Card:
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Billing Address:
(Please Note: starting in 2013, all shipping addresses MUST be the same as the billing address)
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Amount you are authorizing to bill: (usd)
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Today's Date:
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Your full name: (digital signature)
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Other Information & Questions:
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How did you hear about us/find us?:
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All returned parts are subject to a 25% restocking fee:
(unless defective)
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I understand
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Shipping charges are not refundable:
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I understand
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All parts have a 30day warranty unless otherwise stated:
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I understand
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I fully understand that I am placing an electronic order with AAA Management, Inc. for the price agreed upon & stated above. I am allowing AAA Management, Inc. and its agents to charge my credit card for the aforementioned amount.
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I understand
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Please e-mail or fax us a copy of your photo-ID, and the front & back of the credit card you are using to bill on this order. (we use this as a safety measure to help fight credit card theft.) You order will NOT be fulfilled until you successfully do this!
email: aaamanagement@yahoo.com
fax: 732-446-6337
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I emailed the copies
I faxed the copies
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Electronic Signature (type in your full name):
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Did you know, we are now on Facebook? Keep up to date, on the latest sales & coupons. We update frequently, and list new popular cars & parts available! http://www.facebook.com/AAAManagement
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Questions, Comments, Special Instructions:
(not required)
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THANK YOU FOR YOUR ORDER!
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