SUBMIT PAYMENT TO OzMUNCHKINLAND


BILLING ADDRESS
Name
Address
City
State
ZIP
Country
Phone
Email

SHIPPING ADDRESS (leave blank if same as above)
Name
Address
City
State
ZIP
Country
Phone
Email

YOUR ORDER
Item #
Description
Personalization?
Price
Item #
Description
Personalization?
Price
Item #
Personalization?
Price
Shipping
Total

CREDIT CARD INFORMATION
Type of Card
Name on Card
Account #
Expiration Date /
Message
Subject

Before submitting, please review all of your information to see if it is correct. If you would like to clear this form, click "Start Over." Once you have double-checked your payment and shipping information, click on the "Submit!" button to send your order to OzMunchkinland. You will then receive a confirmation screen that your information has been sent. You may print the screen for your records. After you have received the confirmation page, please "close" the window.

Your order will be processed and you will be notified if there are any problems.

If you would like to pay by check or money order, please print out this page and send along with payment payable to:
Eagle Sports
3280 Sunrise Hwy #158
Wantagh, NY 11793