SUBSCRIPTIONS
InternetDepositCheck

Credit Card

Print, fill out all the solicited information and send this form by fax to: (52 9) 884-1868. We will shortly contact you by e-mail.

 
Name: _________________________________________________
   
Address: _________________________________________________
   
City: _________________________________________________
   
State: _______________________    Zip code:______________
   
Telephone: _________________________________________________
   
Fax: _________________________________________________
   
e-mail: _________________________________________________
 
Credit card: American Express (*)     MasterCard     Visa
   
Name of cardholder: _________________________________________________
   
Card number: _________________________________________________
   
Expiration
date:
Day ________ Month _______ Year _________
   
Signature: _________________________________________________
 
(*) If you are an AMEX card holder, write the code number located
on the upper right side of the account number
: .
 
I owe and agree to pay unconditionally, upon demand, the amount herein specified, and any or all charges evolving from same, at the time this bill is presented by the credit card company, or any authorized representative.
 
Rates (**)    
  1 year $18 U.S 135 pesos
  2 years $36 US ./270 pesos
  3 years $54 US 405 pesos
     
(**) Plus shipping and handling:

• México: 13 pesos
• United States, Canada, Central America
  an the Caribbean: $5 US
• South América and Europe: $6 US
• Africa y Asia: $8 US


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