Here at BMP Tuning, we make customer privacy and security our top priority by employing state of the art

screening software
which aids in preventing identity theft as well as credit card fraud and occasionally false alarms can occur. This frequently
happens when customers place orders while on vacation or in the military when station abroad.

We generally offer two options to customers when this happens. The customer can either request cancellation and place the
order again with a secure payment method such as PayPal, or the customer can complete this Credit Card Verification Form to
confirm their identity. Orders will be put on halt until a completed form has been submitted to us.

Check any that apply: ☐ Active Military stationed abroad ☐ Recently moved to a new Address
☐ Shipping to Friends or Family ☐ Currently on Vacation
☐ Paying with a Friend’s Credit Card ☐ NONE OF THE ABOVE

Please scan the front and back of the credit card that was used to place the order:

FRONT OF CREDIT CARD BACK OF CREDIT CARD

Please scan the front and back of a state issued ID card*, matching the name on the credit card:

FRONT OF STATE ISSUED ID CARD BACK OF STATE ISSUED ID CARD

BMP Tuning Form Credit Card Verification Rev. 1.00

*A state issued ID card includes any personally identifying document containing a picture of you that was issued by your local,
state or federal government. These include but are not limited to: Drivers License, Personal Identification Card, License to
Carry a Handgun, Military ID Card (CAC, VHIC, VIC for US Military), Passport Card, Passport, Tribal ID Card.

I, ______________________________ (full name) hereby authorize BMP Tuning to charge my card ending with ________ (last
4 digits of your credit card number) in the amount of ______________ (total cost of your order after any taxes and shipping)
for order number ____________ (your order number).

I further authorize BMP Tuning to ship my order to the following address:

Street name, number and apartment/suite number: _________________________________________
City: _________________________________________
State: _________________________________________
Zip Code: _________________________________________
Country: _________________________________________

I affirm that all information provided on this document is accurate to the best of my knowledge. I also understand that
intentionally submitting false information in order to obtain credit or property is a federal crime as well as direct violation of
Texas Penal Code §32.32 and will result in both civil and criminal litigation.

Please sign this form and email it back to us completed as soon as possible so that we can continue processing your order in a
timely manner. Submitting an incomplete form will result in a denial and cancellation of your order. BMP Tuning holds the
right to refuse any purchases at any time for any reason.

___________________________________________________________ ___________________________
SIGNATURE DATE

BMP Tuning Form Credit Card Verification Rev. 1.00