Payment (Sorry, no CODs):
[ ] Check (to JRF) [ ]
VISA [ ] MasterCard
Card member name (please print)
____________________________________________
Card number _____________________________________ Expires MM/YY
____ / ____
Signature _____________________________________________________________
What is your congregation or havurah? _________________________________________
Billing Address (books
can only be shipped to a street address)
Name ____________________________________________________________
Street ____________________________________________________________
City _________________________________ State/Prov. _________
Zip/Postal Code _______ Country _____ Telephone (day)
_________________________
Email address (if we have questions about your
order)._____________________________
If items are to be shipped to another
address: (must be street address for books)
Please enter each "Ship To" address on a separate order form.
Name_____________________________________________________________
Street_____________________________________________________________
City _________________________________ State/Prov. _________
Zip/Postal Code ________________ Country ___________
Gift message (optional)
____________________________________________________
Please send the following:
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