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HOME	METEORITES	THIN-SECTIONS	TEKTITES	IMPACT GLASS	IMPACT BRECCIA
FULGURITES	JEWELRY	BOOKS-PRINTS	CALENDAR of FALLS	ORDER FORM	CONTACT US

How to order:

You can either print this page and mail it to me, or you can cut and paste it into an e-mail and send it to me at Impactika@aol.com and I will contact you at the email address or the phone number you have listed below to complete this transaction and assure your satisfaction.

Regardless of the method you choose, please note that I will need the information, below, to process your order.

Actual amount of sale will include shipping charges. Sales tax will apply to residents of Colorado, USA.

Customer Contact Information

Name:

Street Address:

Address (cont.):

City:

State/Province:

Zip/Postal Code:

Country:

FAX:

Day Telephone:

Evening Telephone:

E-mail:

As form of payment, I presently accept checks and money orders in American currency. It will take a few days for your check to clear, and I will keep you up-to-date. My mailing address is:

IMPACTIKA, 303 South Broadway, Suite B-517, Denver, CO, 80209, USA:

I also have a Paypal account under the name IMPACTIKA@aol.com.

Please note that, because of cases of fraud and stolen identity, I no longer accept credit cards as form of payment. The only exception would be a credit card processed directly through a Paypal account.

Items ordered:

Registry:

Mineral Name:

Mineral Size:

Price:

Registry:

Mineral Name:

Mineral Size:

Price:

Registry:

Mineral Name:

Mineral Size:

Price:

Registry:

Mineral Name:

Mineral Size:

Price:

Thank you very much for buying from IMPACTIKA.
I do appreciate your business.
Anne M. Black, owner

HOME	METEORITES	THIN-SECTIONS	TEKTITES	IMPACT GLASS	IMPACT BRECCIA
FULGURITES	JEWELRY	BOOKS-PRINTS	CALENDAR of FALLS	ORDER FORM	CONTACT US

	Customer Contact Information
Name:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Country:
FAX:
Day Telephone:
Evening Telephone:
E-mail: