Merchandise Order Form

Complete, print and mail this form along with your check or money order to:

Castillo Country, P.O. Box 1992, Beeville, TX 78104

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First Name Last Name

Address      Apt. #

City       State  Select One AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA ME MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY    Zip

Country  US Canada UK       Country(Other)    

Phone (w/area code)

Personal Check    Money Order

Total Purchase Amount  

Shipping (see chart on previous page)

Total Enclosed      

Please allow 2-4 weeks for delivery.