"Visions of San Miguel, The Heartland of Mexico" Order Form

Cost of each book is US $20 which includes shipping and handling for mail within the United States! 
(Contact us for shipping cost outside the USA.)

If you prefer to pay by check or money order, print and fill out the form below, make check payable to Dianne Kushner and mail check and order form to her at 220 N. Zapata Hwy, #11A, Laredo, TX 78043.

For gift books, indicate complete mailing address and enclosed note card information.

Bill to:

Name ____________________________________________
Street Address ____________________________________
City _______________ State ____________ Zip _________
Phone with area code _______________________________
Visa / MC: _______________________________ Exp: _____
Email _________________________________
Number of books ________@ US$20/each
Total ____________

Ship to: (if other than above)

Name ____________________________________________
Street Address ____________________________________
City _______________ State ____________ Zip _________
Phone with area code _______________________________
Email _________________________________
Include gift card: Yes _____ No _____
Short Message ____________________________________
_________________________________________________