THE  PARTS BROKER  & SARATOGA CLASSICS

M-THR8:30 A.M-6;PM FRI.8:30A.M-5P.M

PHONE 877 276 7278 OR 518 557 8922

EMAIL SALES@SARATOGACLASSICS.COM

TEX 518-526-6144 8:30AM-6P.M  NO CALL PLEASE
SARATOGA CLASSICS.COM

PARTS REQUEST

We accept Visa, MasterCard and Discover credit or debit cards. If you do not have a credit or debit card we suggest you purchase a "prepaid" credit card with which to make your purchase.

Your credit card statement will read: Saratoga for our portion and the vendor balance will be in there name.

SARATOGA CLASSICS & THE PARTS BROKER

Authorization for Credit Card Use

PRINT AND COMPLETE THIS AUTHORIZATION AND RETURN. 
All information will remain confidential

 

Name on Card: ___________________________________________ 

 

Billing Address: ___________________________________________

___________________________________________



Credit Card Type: _____ Visa     _____ Mastercard   ____ Discover


Credit Card Number: ___________________________________________


Expiration Date: ___________________________________________

Card Identification Number: ______ (last 3 digits located on the back of the credit card)

Amount to Charge:  $  ________________ (USD) 

I authorize to charge the amount listed above to the credit card provided herein. I agree to pay for this purchase in accordance with the issuing bank cardholder agreement.

Cardholder – Please Date

Date: ___________________________________________

 Return the completed form to the following:

<table width="200" valign="top">
<tr><td colspan="3" valign="top">
<form method="post" action="sendlink.php" enctype="multipart/form-data">
<tr><td>Amount:</td><td width="10"></td><td><input type="text" name="amount"></td></tr>
<tr><td>Product Name:</td><td width="10"></td><td><input type="text" name="name"></td></tr>
<tr><td>Product Description:</td><td width="10"></td><td><input type="text" name="desc"></td></tr>
<tr><td>Customers Email:</td><td width="10"></td><td><input type="text" name="email"></td></tr>
<tr><td></td><td width="10"></td><td><input type="submit" value="Submit" class="buttontype"></td></tr>
</form>
</table>
<table width="200" valign="top">
<tr><td colspan="3" valign="top">
<form method="post" action="sendlink.php" enctype="multipart/form-data">
<tr><td>Amount:</td><td width="10"></td><td><input type="text" name="amount"></td></tr>
<tr><td>Product Name:</td><td width="10"></td><td><input type="text" name="name"></td></tr>
<tr><td>Product Description:</td><td width="10"></td><td><input type="text" name="desc"></td></tr>
<tr><td>Customers Email:</td><td width="10"></td><td><input type="text" name="email"></td></tr>
<tr><td></td><td width="10"></td><td><input type="submit" value="Submit" class="buttontype"></td></tr>
</form>
</table>
<table width="200" valign="top">
<tr><td colspan="3" valign="top">
<form method="post" action="sendlink.php" enctype="multipart/form-data">
<tr><td>Amount:</td><td width="10"></td><td><input type="text" name="amount"></td></tr>
<tr><td>Product Name:</td><td width="10"></td><td><input type="text" name="name"></td></tr>
<tr><td>Product Description:</td><td width="10"></td><td><input type="text" name="desc"></td></tr>
<tr><td>Customers Email:</td><td width="10">t type="text" name="email"></td></tr>
<tr><td></td><td width="10"></td><td><input type="submit" value="Submit" class="buttontype"></td></tr>
</form>
</table>