Late Model Auto

Get In Touch

Contact Information

Local: 816-483-8500
Toll Free: 800-800-8502
Fax: 816-483-0093

Hours: Mon-Fri 8am-5pm CST

Address: 5420 East 10th Street Kansas City, MO 64127

Credit Card Submission

This form allows you to submit your credit card information and authorization to Late Model Auto Parts for online orders.

Name*
Please give us your full name.
First Last
Date*
Date Format: MM slash DD slash YYYY
Best Contact Number*
Please give us the best phone number to reach you at.
Billing Address*
Please enter the billing address associated with your credit card.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Address
If your shipping address is different than your billing address please complete this section.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit/Debit Card Information*

Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Credit/Debit Card Consent*
I hereby authorize Late Model Auto Parts to charge the order as described below to my Credit/Debit Card. I understand that this order is placed by Telephone and that by selecting this option I am signing a binding agreement. This purchase of used auto parts is FOB Kansas City, MO. I understand that if I refuse this shipment all freight charges will be billed to my credit/debit card and I will be charged a 20% restocking fee for ALL non defective returns. By selecting this information I agree that I am the owner or authorized user of this credit/debit card and that I am legally allowed to authorize this transaction.
- By checking this box I am agreeing to this consent and give Late Model Auto Parts consent to charge my credit/debit card for the agreed upon amount.
Phone
This field is for validation purposes and should be left unchanged.

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Credit Card Authorization Form – PDF

ccauth

Late Model Auto

Get In Touch

Contact Information

Steve

Jon

Mike

Andrea

Ana Laura

Eddie

Liz

Dylan

Credit Card Submission

Calculate Shipping with UPS

Credit Card Authorization Form – PDF