OZentries

On-line Extras Payment Details

Payee Details

Member No.:

Please advise your Dogs NSW member number if you are a member, if not leave blank.

First Name / Initials:

Email:

Confirm Email:

Summary of Entries

Total Entrance Fees:

Payment Fee:

($0.75 + 2.8%)

GST Payable:

Total Payment:

(Including GST)

Payment & Process

Credit Card Type:

Mastercard Visa American Express

Name on Card:

Card Number:

Card Expiry:

Card Security Code:

Visa & Mstercard: 3 digit code on the back near the signature strip.
AMEX: 4 digit code on the front above and to the right of card number.

Declaration:

Payee Declaration (please check box):

I hereby declare the above details to be true and correct.

Process Payment:

Completes your on-line payment and bills your credit card immediately through our on-line banking gateway. Only click ONCE otherwise your credit card may be billed each time you click submit.

Cancels the transaction - you will then need to re-commence the process from the beginning to continue.