MINERAL GALLERIES

ORDER FORM

After we receive your order, we will check availability of the items you ordered. Then send you an email confirmation of your order, including availability and shipping costs. Texas residents only will have 8.25% sales tax added to the order. Orders shipped in USA are sent U.S. First Class or Priority Mail, Insured.  See Ordering Section for details.

**Minor children under the age of 18 yrs. are not eligible to use our online shop and not eligible to provide personal information.
NAME: 
EMAIL: 
CONFIRM EMAIL:
TELEPHONE:
SHIPPING ADDRESS:
MINERALS TO ORDER:
1.  ITEM #
MINERAL NAME:
PRICE:
2.  ITEM #
MINERAL NAME:
PRICE:
3.  ITEM #
MINERAL NAME:
PRICE:
4.  ITEM #
MINERAL NAME:
PRICE:
5.  ITEM #
MINERAL NAME:
PRICE:
6.  ITEM #
MINERAL NAME:
PRICE:
7.  ITEM #
MINERAL NAME:
PRICE:
8.  ITEM #
MINERAL NAME:
PRICE:
9.  ITEM #
MINERAL NAME:
PRICE:
10.  ITEM #
MINERAL NAME:
PRICE:
ALTERNATE CHOICES:
ADDITIONAL  ITEMS-GIFT CERTIFICATE-INSTRUCTIONS:
PAYMENT METHOD:
CREDIT CARD #
CVV # (3 digits on the back):
Expiration Month:
Expiration Year :
Cardholder Name as it appears on card:
Address Verification on record with card:

ROCK N' MINERAL CITY
Tammy Mangun
 Aubrey, TX. USA 
email: RockNMineralCity@gmail.com
phone: 940-205-2672
Please check here if this is a new address