Directory Order Form

To request your directory online, all fields marked with * must be filled in completely. You may also order by fax at (322) 221-2255 or by telephone toll free US: 1 877 278-8018
Canada: 1 866 818-8342.

First Name*

Last Name*

Telephone*

Email *

A reservation confirmation will be sent
to the email address provided.

Address 1

Address 2

City*

State*

ZipCode*

Country*

Credit Info:

A valid credit card is required to purchase.

Card Type*

Visa American Express MasterCard

Card Holder*

Card Number*

Billing Zip Code

[in USA only]

4 Digit Code

[if American Express]

Exp Date*

MM/YY

Please indicate the amount needed

Comments or Special Requests

How did you find Mexico Boutique Hotels?*

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Travel Agency Information
[if applicable]

Agency Name
IATA#
Address
City
State
Zip Code
Country
Email
Telephone
Contact

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