Address Verification Form

Below you will find an Address Verification Form. You are here because your Shipping and Billing addresses do not match, or a different billing address was entered during the checkout process, both of which are often indicators of fraud.

Please confirm that your addresses are accurate by completing the form below within two (2) business days of the date your order was placed. If you are unable or unwilling to do so, your order will be canceled. Payment will not be processed, and parts will not be gathered for this order until we receive a completed form.

Order Number(Required)

Easily found on your Order Confirmation. Begins with ‘I’.

Please enter a number from 80 to 1000.

Date of Order(Required)

On which Date was your Order placed?

Month

Day

Year

Your Name(Required)

First Last

Email(Required)

We will respond to confirm receipt of this form once it’s completed.

Enter Email Confirm Email

Signature(Required)

Read and Confirm(Required)

I understand that Orders shipped to any address not matching my Billing Address may require a signature for delivery, as well as ID Verification which matches the Name given on the Order.

I understand that a representative from ITEParts.com may contact me via the phone number or email address I’ve provided in order to confirm shipping details.

Comments

This field is for validation purposes and should be left unchanged.