Dakota Matrix Minerals – Crystal and mineral specimens such as gold for the earth science student.

Please Click
Buttons Below

Home

View Cart

Check Out

Mineral Photo Database

Dakota Matrix Email List

- Our list is private -

Email:

Khaidarkanite

Montgomeryite

Tourmaline

Kidwellite

Proustite

Tourmaline

Calcite

Szenicsite

Cyanotrichite

Orpiment

Rhodochrosite

Billing and Shipping Information

Fields marked with an asterisk ( * ) are required

Please fill out the following form. Your billing address is used to validate your Credit Card and should match the address on your Credit Card.

Billing Information

If you have a foreign address (Outside the USA), please use box below.

* First Name:

* Last Name:

* Phone:

* Email Address:

* Address 1:

Address 2:

* City:

State (if in USA):

* Zip Code / Postal Code:

Foreign Address Information:

* Country:

Shipping Information Same as Billing Information

If you have a foreign address (Outside the USA), please use box below.

* First Name:

* Last Name:

* Phone:

* Address 1:

Address 2:

* City:

State (if in USA):

* Zip Code / Postal Code:

Foreign Address Information:

* Country:

* Credit Card:

* Name on Credit Card:

* Card Number:

* Expiration Date:

Credit Card Verification Number:

(Required for Visa and Master Cards)

VISA/MASTER CARD Verification # is a three digit number found in the signature area on the back of your VISA/MASTER credit card. This three digit number is displayed after your credit card number.

Comments:

Secure Payments | Links | About Us | Contact Us | Search