CUSTOMER AUTHORIZATION FORM

SHIPMENT CONFIRMATION LETTER

CARDHOLDER NAME: _____________________

CUSTOMER NAME: ________________________ (If not a Cardholder) RELATION (With Cardholder): ________________

INVOICE NUMBER: ---------------------

CONTACT NUMBER: ------------------------- EMAIL ADDRESS: ----------------------------------------

PURCHASE DETAILS:

PRODUCT: NET PRICE: $

YEAR: ------------ MAKE: ------------------------ MODEL: ---------------------------- VIN: -------------------------------------------------

I AUTHORIZE THIS PUCHASE: GRANTED or DENIED

COMMENT IF ANY:_________________________________________

RESIDENTIAL OR BUSINESS NAME:_______________________

SHIPPING ADDRESS: ______________________________ CITY:____________________ STATE: ______ ZIP CODE: ________

CONTACT PERSON NAME:______________ NUMBER:__________________

Parcel Damage: We ask that all items be inspected for damage, and that damage be reported to the returns team within 7 business days.
Any clearly damaged packages be refused upon delivery if possible. Please take photos of the package damage as this will help speed up
the return process.

Freight Damage: We ask that you fully inspect each item for damage (both internal & external). We ask that you check the box and the unit
before signing for the delivery. Please take photos of the package damage as this will help speed up the return process. Please note that
accessory parts on engines or other parts are not warrantied, this means refusal of these items due to damage may incur a re-stock fee.

I have Read and Agreed/Aware of all the Terms and Conditions.

By Signing below, I acknowledge this purchase and authorizing E-Auto Market Company to ship the product to above
mentioned shipping address.

-------------------------------------------------- Date: -----------------------

Customer’s Signature