Order Form

Order Information:


	*Only $6.99 per 35oz jug! ->*

Shipping rates:
1 jug…………$5.99         7 jugs………..$12.99
2 jugs………..$6.99        8 jugs………..$13.99
3 jugs………..$7.99        9 jugs………..$14.99
4 jugs………..$8.99      10 jugs………$16.99
5 jugs………..$9.99      11 jugs………$17.99
6 jugs………..$11.99    12 jugs………$19.99
12 jugs per case… Inquire for Volume discounts Click HERE


	Order Form . . . . Please fill out the form below to order the 35 oz Jug of Michelada Mix!



	Shown one 35 oz Jug of Habagallo Michelada Mix

Name		(Required)
Phone
E-mail Address		(Required)

Qty.

Price

Shipping

Tax (TX only)

Total

Shipping Address

Name

Address

City

State

Country

Zip

Billing Address
Check if same as shipping address

Name

Address

City

State

Country

Zip

Billing Information

Credit card

Name on Card

Card number

Expiration


	Comments :


	Trouble Ordering? Call 1-956-739-0799