Subscribing to Mexico Connect
With a Cheque or Money Order

Those users who prefer to pay by personal check or money order rather than by credit card may do so by:
1. Printing out this page. - 2. Completing the required information.
3. Mailing this page along with your check or money order made payable to:
"Mexico Connect".

I am requesting a 12 month Subscription for $30:00 USD. I understand that my Subscription will start when the check or Money Order is Cashed.

Please enter your full name: ___________________________
E-Mail: _____________________
This must be a valid e-mail address, other than an @mexconnect.com address.

For Account Set-up:

First Name: _______________________ - Last Name: ______________________
City: ____________ State: _________________ Country: ________________

Choose a Username:______________________
Choose a Password: ______________________

I want my @mexconnect email address to be __________________@mexconnect.com
(no spaces here please).

This is a gift from: ________________________________

Tell us your e-mail address. ____________________________

Please print, complete and mail this page to one of the addresses listed below.
Don't forget to include the payment.

From outside Mexico: Mexico Connect 827 Union Pacific, PMB 71-278 Laredo, Texas, USA. 78045

From within Mexico: Mexico Connect APDO #623 Ajijic, 45920, Jalsico, Mexico