Official Secure Order Form

Please fill out the following information and press the SUBMIT button.

By submitting this form you authorize North Yale Auto Parts, Sperry, OK., to draft a check on your bank account for the amount shown below if paying by check. You will receive a copy of the check in your next monthly bank statement. OK. residents must include 8% sales tax. If paying by credit card you agree to abide by your cardholder agreement and by pushing  SUBMIT  you agree to the charges you submit.

Please provide the following shipping info.  ( Must be the same as address on check or credit card statement )

Company Name ( if Applicable )

Name on Check Or Card 

Address 

City State    Zip.

Phone Number

E-mail Address

Pay by MasterCard / Visa / Discover / American Express

Card Number Expiration Date ( Example: 0501 )

Pay By Check

Bank Name

Bank City    Bank State

Fraction Code ( Example 5-215/1011 ) Located at top right of check.

Check Number

Account Number

Routing Number

Enter total sequence at bottom of check / left to right:

Use /: for transit symbol / for ON US symbol and /// for the symbol. 

Please describe the part you are looking for and include as much information as possible ( make, model, upper, lower, left, right, etc. )

Because the total charges cannot be determined until we locate your part, we will e-mail you with the exact amount of your order including S&H for confirmation before we charge your credit card.