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       Excalibur Mineral Corporation  Mineral Analysis Pricing and Order Form  | 
  
| Qty | Analysis Description | Charge | Total | 
| 
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| Analysis of a mineral phase on single surface, including spectra but no 
      image or detailed report  | 
$49.00 | ||
| 
 | 
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| Additional SEM images of an analyzed mineral phase; price per image
 | 
    N/A | N/A | |
| 
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| Digital X-ray mapping (after analysis), minimum of 4 elements; per
element specified
 | 
    N/A | N/A | |
| 
 | 
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| Bulk searches, special requirement jobs, specimen prep & multiple
analyses, cost is per hour
 | 
$175.00 | ||
| 
 | 
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| Specimen return handling charges by surface mail, if requested: $12.00 per shipment in USA, $28.50 foreign; additional charges will apply for registered, foreign or special services. Material will otherwise be discarded!. | $12.00 | ||
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| 
 Subtotal  | 
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| 
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| 5.3% Sales Tax   (VA residents only)  | 
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| 
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| 
 Grand total  | 
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Your Name: _______________________________ Address: _________________________________ City/State/Zip ___________________________  | 
| Total check/money order enclosed: ________ | 
| [ ] Visa [ ] Mastercard [ ] American Express/Optima | 
| Account Number:______________________________ Expiration Date:________ CVV Code (3 digit on reverse):_________ | 
| Daytime Telephone Number:_(________)_________________________________ | 
| Signature: __________________________________________________________ |