121 North Market St.  -  Frederick, MD   21701
Phone: 301-631-5511


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PLEASE COMPLETE ALL FIELDS CAREFULLY & CLICK THE SUBMIT BUTTON ONCE


SHIPPING ADDRESS & CONTACT INFORMATION:

Full Name:




Email:               Phone Number:

Shipping Address:



City:       State:      Zip Code:


BROWSE THE ONLINE STORE

QUANTITY DISCOUNTS ARE AVAILABLE HERE

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New windows will open for the links above)

ITEMS WANTED
ITEM #
          COST - $


ENTER THE TOTAL COST OF YOUR MINERALS:




SPECIAL INSTRUCTIONS:


SHIPPING & INSURANCE CHARGES WILL BE ADDED TO YOUR TOTAL. SEE DETAILS HERE.

NOTE: 6% Sales Tax will be added to orders shipped to Maryland addresses.

For orders outside of the U.S., please contact me directly.


PAYMENT
We Accept Visa or Master Card Only

For security purposes, please fill in fields below, then
call me directly at 301-631-5511 to complete the transaction.


Check Payment Type:   Visa:
         Master Card :

Card Number:     Exp. Date (mm/yy):

Name as it appears on the Card:

CREDIT CARD BILLING ADDRESS:
(If Different From Shipping Address)  


City:      State:       Zip Code:
 


Phone Number:
 

To place your order, please click the button only once.