Fabre Minerals secure data form

(para ver esta página en español)

Welcome to our dedicated secure page.

We have our own secure site so as to be certain of a high level of security. It is on a reliable server and we have our own security certificate. As a result you can be sure that you are really talking to our server and thus directly to us. We also ensure that no data is held in any file on the server.

You may use the form below to transmit your credit card information in a secure and encrypted format for use with your current order.

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 Fabre Minerals.
You will be notified that your credit card information was received.

The following credit cards are accepted at
Fabre Minerals

If you would prefer to send the information by fax please fill out this form, print a copy and then send it to us on the following number (remember not to submit it): + (34) 934504745

If you want to mail your credit card information to Fabre Minerals please send it to (again you could mail a printed copy of this form):

Fabre Minerals
c/ Arc de Sant Marti 79 local
08032 Barcelona, Spain

If you prefer to provide your credit card information electronically a secure server will process this form and send it on securely

Card Type: Visa Mastercard AMEX

Card Number:

Expiration Date:
/ month / year (only the last 2 digits)

Name on the Card: (name as it appears on the card)
CCV :

CCV - The credit card verification number (sometimes referred to as CVN) is a three or four digit code found on your credit card. For Visa and Mastercard cards it is the last three digits of the number found on the reverse of the card. For American Express cards, it is found on the front just above and to the right of the card number.

Amount: (write here the total amount of the charges)

Customer Information:

Please fill out this form also - Your specimens can not be sent to you unless I know who you are and where you live (if we do not hold that on file)!

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 / Postal Code:

*Home Phone:
Work Phone:

*Country:

*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 Fedex instead of Spanish Postal Service.

Submit this Information:
Please check for typos and omissions (an error report will give you any we detect!)

Please click on this button to send your credit card details. Note that this can take more than one minute so please wait for the confirmation page to appear

Thank You!!

All pictures, text, design © Fabre Minerals 1996-2024

Card Type:	Visa Mastercard AMEX
Card Number:		Expiration Date:	/ month / year (only the last 2 digits)
Name on the Card:		(name as it appears on the card)		CCV :
	CCV - The credit card verification number (sometimes referred to as CVN) is a three or four digit code found on your credit card. For Visa and Mastercard cards it is the last three digits of the number found on the reverse of the card. For American Express cards, it is found on the front just above and to the right of the card number.
Amount:	(write here the total amount of the charges)

*First Name:	Initial:	*Last:
*Address:
Address:
*City:	*State:	*Zip / Postal Code:
*Home Phone:	Work Phone:
*Country:
*Email Address: