Subscribing to Mexico Connect
With a Cheque or Money Order

I already have a Forum and/or an @mexconnect.com account and want to use these.
Yes, you can. Read this first.

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 the above Username and Password to be my Forum log in as well ____________.

No, I want the following to be my Forum Log in and Password.
(Tick here ___ if this is an existing Forum account )
Choose a Username:______________________
Choose a Password: ______________________

I want my @mexconnect email address to be __________________@mexconnect.com
(no spaces here please), and the Password to be: ________________
(it can be the same as any of the above, or different. Your choice.)

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, 78045, USA

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