Order Form

To place an order, please fill out the form below or

send an e-mail to ijameel@khyberminerals.com 


Please enter the item and stock number in the appropriate fields below:

Item

Stock Number

1.
2.
3.
4.
5.
6.
7.
8.
9.

 

Payment Method:

 

Please enter the name and address of the individual who will be receiving the specimens.

 

Name:     

E-Mail Address:
Phone Number:
Address 1:
Address 2:  
City:    
State/ Province: 
Postal Code:      
Country:            

 

Additional Instructions:

Or if you have an inquiry, send an e-mail to ijameel@khyberminerals.com