| Please charge the above
listed items to the payment option above for the
total value listed in the "Total Order Field" of this
form. I/We accept this charge and have read the terms
and conditions listed. We agree to those terms and
conditions.
Emu Heaven Farm
will NOT release store or distribute any customer details
listed herein and shall only charge the amount listed by me
in this form.
Please note that orders will not be processed until payment has been received.
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