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 $16.95/ book* = $___________
(*note: shipping and handling @ $2.00/book included in price)
California residents add sales tax of 7.25% = $___________
TOTAL ENCLOSED = $___________
Please pay by check
PLEASE MAIL FORM TO (and make any checks payable to):
RABBI MICHAEL LOTKER
20168 VILLAGE 20
CAMARILLO, CA 93012
[please print out this form and complete clearly]
Your name: ____________________________________________________________
Mailing Address: _________________________________________________________
_________________________________________________________
____________________________________________________________________________
Telephone Number: ______________________
E-mail Address: ________________________________
Requested Inscription: ________________________________________________________
Number of books requested: __________ x $16.95/ book* = $___________
(*note: shipping and handling @ $2.00/book included in price)
California residents add sales tax of 7.25% = $___________
TOTAL ENCLOSED = $___________
Please pay by check
PLEASE MAIL FORM TO (and make any checks payable to):
RABBI MICHAEL LOTKER
20168 VILLAGE 20
CAMARILLO, CA 93012
Order Form
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