Mex-Craft Imports Fax & Mail Order Form

Please print out, fill in and fax or mail to:

Mex-Craft Imports, Inc.  -  P.O. Box 189  -  Progreso Texas, 78501  - Fax: (956) 565-9646

Ordered By

Name: ___________________________________   Address: ___________________________________

City: _________________________   State: __________   Zip Code: __________

Telephone: ____________________   Fax: ____________________   E-Mail: ____________________

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Credit Card Information

Check One: Visa _____           MasterCard _____           Discover _____           American Express _____

Credit Card Account Number: ________________________________________________

Name as it appears on card: __________________________________________________