1. Fill out form 2. Print 3. Fax or Mail this page
Sub Total
GST
Your Details:
Phone Fax Email
Payment Options: Cheque M.O. VISA MASTERCARD
Credit Card # Exp. Date /
Cardholders Name Signature
Fax or Mail this page to:
Outback Emuzing Ranch 2301 Clark Rd. Courtenay, B.C. Canada V9J 1T1 FAX: 250 338-1108
or phone us with your order & Credit Card information:
Toll Free 1-866-338-8227
Prices in Canadian Dollars.
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