Ian's Euro Parts Credit Card Confirmation Form
INFORMATION NEEDED TO ACCEPT CREDIT CARD :
CARD NUMBER -
EXPIRE DATE -
CVVC # ON THE BACK OF THE CARD - LAST 3 DIGITS
BILLING ADDRESS	SHIPPING ADDRESS
PHONE NUMBER
NAME ON CARD
SIGN HERE...>
FAX COMPLETED FORM BACK TO US - (USA) ....954 968 3798
Front of Drivers License	Back of Drivers License
Front of Drivers License	Back of Drivers License

Please Print this form, photo copy your drivers license on to the complete form and fax the form to us.
Orders outside of the USA 48 States will not be processed without a completed Credit Card Confirmation Form.