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Shop Elvis Australia - PayPal Account Application

If you would like to be able to order online without using a credit card and pay by PayPal please fill in this form and we will provide you with an 'Account' pass code so you can order online and select 'Account' rather than entering in a credit card number.

Please enter your email twice so as to avoid making a mistake.

Your Email: *
Your Email: (To Verify) *
Your Full Name: *
Your Country: *

Please make sure your email address is correct, many people submit this form with an incorrect email address. If you do not receive a reply it will be because you entered an incorrect email!

* Indicates the field is compulsory.