MINERALS UNLIMITED ORDER FORM

NAME_______________________________________________________   PHONE NUMBER_________________________
SHIPPING
ADDRESS____________________________________________________________________________________________

CITY______________________________________________________ STATE_______________ ZIPCODE_____________

COUNTRY( IF OUT OF US)_________________________________

For payment, we accept VISA or MasterCard credit cards, as well as checks or money orders drawn on US banks. For credit
card orders, please include your phone number above, and the address at which you receive your card statements, if different
from the above address.
CARD NUMBER___________________________________________ EXP DATE____________  CODE_______(from back)

BILLING ADDRESS FOR CARD____________________________________________________________________________

_____________________________________________________PHONE or email _________________________________


QUANTITYSIZENAME and/or DESCRIPTIONUNIT PRICE            PRICE

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

If this is not enough space for your order, please click here for page 2.

SUBTOTAL:$______________________________________(if under $10.00, add $2.00 small order charge.)

TAX $___________________________________________    (For California residents only. Add 7-1/4 %)

SHIPPING ESTIMATE$_______________________________   (See note below)

TOTAL$__________________________________________

Shipping note: For US shipments, we send by the cheapest way, unless you select an option below. All orders are insured, unless you waive our responsibility here ____.  We charge actual cost, with a $3.00 minimum, so we cannot estimate costs here. Please add at least $12.00 for US orders, and we will refund excess, or bill any overage.
US MAIL______  UPS: Ground___ 3-Day___ 2-Day___ 1-Day___   FEDEX: Ground___ 2-Day___ 1-Day___ (keep in mind the faster  methods are more expensive)
Out of US orders are shipped by Airmail with insurance, please allow at least $25.00. Other options may be discussed by email.

MAIL ORDERS TO: MINERALS UNLIMITED, PO BOX 877, RIDGECREST CA 93556-0877, USA
FAX ORDERS TO: (760) 375-2300       PHONE IN ORDERS TO: (760) 375-5279   EMAIL: Wendi@mineralsunlimited.com