MINERALMINERS.COM®- Your Personal 'Link' Direct to the Mines!TM
Gem & Mineral Miners, Inc. * P.O. Box 9292 * Alta Loma, California 91701
Toll Free: (877) 464 6377, or (909) 466 0461 * Fax: (909) 466-0347
email: info@mineralminers.com

"Off-line" Order Form for mineralminers.com®

This form is provided for our customers who are unable or do not wish to use our Secure On-line Ordering System. Simply print out this form with your printer and fill it out completely (please print legibly), and then fax or mail it to us. You will need to contact us for the shipping, handling & insurance cost. If paying by check, cashier's check or money order, please make it payable in U.S. Dollars to: Gem & Mineral Miners, Inc. We also accept Visa, Mastercard, American Express, JBC and Discover. Note! Phoning, faxing or mailing your order to us "off-line" will require manual processing at our end. Until we do that, it is possible that someone else's on-line order may be submitted before yours which would immediately reserve their selections, thus any unique merchandise that you select might already be reserved by them.

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Total
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Sub-Total $
California residents add 7.75% sales tax $
Postage, Handling & Insurance (call or email us for amount) $
Total Amount Due (U.S. Dollars) $










All Fields Required
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Note! Please enter your credit card billing name and address exactly as it appears on your credit card bill. If it is not exactly the same, we will be unable to process your order! We cannot ship by UPS (United Parcel Service) to a P.O. Box address.

BILL TO SHIP TO
First Name:

Last Name:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

E-mail Address:
Phone Number:
Credit Card #:
Expiration Date:
Signature:
Payment Type (please circle one): Check - Visa - Mastercard - American Express - JBC - Discover
Payment Method (please circle one): By Fax - By Mail
Preferred Shipping Method:

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Last Updated: April 14, 2015
© Copyright 1998-2015 Gem & Mineral Miners, Inc.® All Rights Reserved.