Coin-in Online Registration Form

First Name: * Last Name: *
E-Mail Address: * Street Address:
Suburb: Postcode:
Country/Region: Phone: *
Name of Series You Wish to Coin-in to: *

Payment options:

We offer two payment options with the Coin-in Service. Please choose one of the following

1. Auto-charged on credit card

Items will be charged to your credit card upon release and sent to you with your invoice attached.
*Our customer service representative will call you within 24hrs to collect your credit card details.

2. Cheque or money order payments

Invoice will be issued.
Payments via cheque or money orders are required within 7 days.
Unfortunately, your Coin-in service will be cancelled if payments are not received.