Order Form If Paying By Money Order
Please use the Print button on your browser to print out this form.
Fill out the form and mail it with your money order to:
Agate Road
15590 Poverty Pond Road
Grass Valley, CA 95945
Please make money order payable to Agate Road. (Sorry, but we cannot accept personal checks.) Note: Please do NOT make money order payable to The Magick Crystal. The official business name on our bank account is Agate Road.
In most cases, your order will be shipped within 1 business day of receiving this form and your payment.
We will notify you by e-mail (if you include your e-mail address) when we have shipped your order.
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To (If different from "Sold To"):
Name
Address
City
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Phone
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E-mail
address
| Item | Price | Qty | Total |
| Subtotal = | |
| California Residents Please Add 8.375% Sales Tax = | |
| Grand Total = |
Please make money order payable to Agate Road (NOT The Magick Crystal) and mail to:
Agate Road
15590 Poverty Pond Road
Grass Valley, CA 95945
Note: Please do NOT make money order payable to The Magick Crystal. The official business name on our bank account is Agate Road.