Order Request

[field id="name"] placed a new order through the website.

Order summary :

  • El Borbón (5X52, Robusto, 1 BOX OF 10 UNITS ): [[field id="borbon"]]

  • El Escosés (5X52, Robusto, 1 BOX OF 10 UNITS ): [[field id="escoces"]]

  • El Coñac (5X52, Robusto, 1 BOX OF 10 UNITS ): [[field id="cona"]]

Billing Information

Account name :  [field id="name"]

Primary Contact : [field id="primary"]

Address : [field id="address"]

City/state/zip :  [field id="city"]

Phone Number :  [field id="phone"]

Email :  [field id="correo"]

Fax Number :  [field id="fax"]

I confirm that I have the legally defined age for tobacco use in my country, or I am older than 21.

Please visit us again when you are of legal age