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If this form is not legible or filled out completely YOUR ORDER WILL NOT BE PROCESSED Date Salesman Name as it appears on the credit card Exp. Date MC Visa Credit Card Number --- 3 Digit Code Option 1 Residential Add 75. Parts Ordered Sub Total S H Option 1 Sales Tax Processing Fee Total Signature - Non-Refundable - Florida Sales ONLY Printed Name I the above cardholder hereby authorize M K Used Auto Parts Inc. to charge the order above to my credit card as indicated above. M K Used Auto...

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