Monday through Saturday! 10:30 am - 4:30 pm Pacific Time
To place an order (personal service) call
with your credit card:
Call 1-(541)264-5908
For immediate shipping!
Print out this form, fill in and send by:
FAX Your Order T0: (541) 265-8260
Or Mail Orders To:

                         PO Box 714
                         Newport, OR 97365
Please Print CLEARLY ALL OF THE FOLLOWING:                       Date:
Billing Address:
First Name:_________________Last:_______
Daytime phone (for any questions)_________________
E Mail_________________________________
Ship To: Mail receptacle _____Yes_____No
Commercial Business_____Yes_____No

We will choose method of delivery unless you specify one below.
USPS Media Mail ( )  USPS: Priority ( )  UPS Ground ( )  Other_______________

Note: Please provide  a street address  for any delivery other than U.S. Postal Service.
Choose Your Items                                         Unit Price
  Pocket Guide - Agates of the Pacific Coast
$6 .95
  California Beachcomber's Special   *FREE media mail
  Oregon Beachcomber's Special has the Agates of the Oregon Coast   *FREE media mail 
  Washington Beachcomber's Special  *FREE media mail
  Alaska Beachcomber's Special   *FREE media mail

Policy: Shipping & handling will vary depending on weight and destination. Please call us at (541) 265-2514 and we will calculate your freight charges as undercalculated freight charges will delay your order. Report any shipping  damage to the carrier immediately!

Sub Total
$          .
$          .
Call 1-(541) 265-2514 for Shipping & handling rates
$          .
Order Total
$          .
     Select Your Method Of Payment   (Check One Below) NO COD'S + NO Purchase ORDERS accepted!
    _____Check or Money Order enclosed (made payable to Facets).
PLEASE NOTE: (Shipment will be held up to 14 days waiting for check to clear.)
    _____VISA   _______Master Card  _______Discovercard
    Credit/DebitCard Number __ __  __ __    __ __  __ __  __ __ __ __  __ __ __ __
    Expiration Date:  Month __ __   Year __  __ C.C.V.# (Last 3 numbers from the back of the credit card):  __ __ __.
    PRINT  Name as shown on card:______________________________________________

I authorize this transaction and the resultant charges to my Credit/Debit Card Account as provided above and acknowledge and affirm that I am the authorized credit card holder. I promise to pay the above amount in accordance with the terms and agreement of my bank or other financial institution that issued the credit card.

Thank you very much for your order.
Copyright © 2014   Agates of the Pacific Coast a division of FACETS    All rights reserved.