Gaia Agates * Ronna Jewett * 6152 Mia Vista Dr., Reno Nevada 89502 * (714) 322-7828

  
 
  Secure Credit Card Information Transfer 
 
 

You may use the form below to transmit your credit card information in a secure and encrypted format to facilitate your current order and all future orders.  Once your credit card information is on file all future orders can filled expeditiously.
 

  • Use your mouse or Tab Key to access and fill-in all appropriate fields.  You can leave "fields" or "check boxes" blank if they are not applicable.
  • If you leave the order form page before you've finished entering all your information and submitting it, use your browser's [BACK] button to return to this page to continue where you left off.
  • When you have completed all appropriate fields, click on the [SUBMIT NOW] button at the bottom of this page to send your information securely to Gaia Agates.
  • You will be notified that your credit card information was received.
The following credit cards are accepted at 
Gaia Agates
 

If you want to mail your credit card information to Trinity Mineral Co. please send it to:

Gaia Agates - Ronna's Treasures 
6152 Mia Vista Dr.
Reno, Nevada 89502
USA

You can also call your credit card information in using this phone number:  (714) 322-7828

If you prefer to provide your credit card information here a secure server will process this this form
 
Card Type: VisaMasterCardAMEXDiscover
Card Number: Expiration Date:
Name on the Card: (Name as it appears on the card - Include initial if present)
3 digit code on back of card
found on signature panel
(see example to the right)
Example: 


Customer Information:

Please fill out this form also - Your specimens can not be sent to you unless I know where you live!
Please double check your email address.  This is a place where mistakes are commonly made.
*= Required Field.
 
*First Name: *Initial: *Last:
*Address:
*Address:
*City: *State: *Zip:
*Country:
*Home Phone: Work Phone:
*Email Address:



Special Instructions:

Any comments or special instructions should be noted here.
For example:  Send specimens to alternative address such as: work address.  Or, send via Fed Ex instead of US Postal Service.
(Keep in mind that a request for using Fed Ex will increase the shipping costs substantially in most cases.)


Submit this Information:
Please check for typos and omissions -

- Click this button to submit your Credit Card information.

Thank You!!