USE THIS FORM TO ORDER BOOKS BY MAIL OR FAX
[please print out this form and complete clearly]

Your name:   ____________________________________________________________

Mailing Address:  _________________________________________________________

    _________________________________________________________

             ____________________________________________________________________________

Telephone Number:    ______________________

E-mail Address:          ________________________________

Requested Inscription:  ________________________________________________________


Number of books requested:    __________   x    $1
7.56/ book* =  $___________
(*note: shipping @ $2.
61/book included in price)

California residents add sales tax of 7.
5% ($1.38)                      =  $___________

                                             
 TOTAL ENCLOSED                       =   $___________

Please pay by check
using this form.


PLEASE MAIL FORM TO (and make any checks payable to):

RABBI MICHAEL LOTKER
20168 VILLAGE 20
CAMARILLO, CA 93012
Order Form