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Gift Shop Order Form

Gift Shop Order Form

Welcome to our online gift shop order form.

To go back to merchendise Click Here

Order Form - Please Fill Out

Item # Quantity Price  Comments / Discounts

     Subtotal:

 

Shipping
We ship to anywhere in U.S. (will receive within 5 business days)

Price Select Preference Order

Mezuzah Case $6 first Mezuzah $2 each aditional one

Tallit /Tefillin Bag $10 first one $4 each additional one*

Tallit / Tefillin / Challah Cover $14 first one
$7 each additional one*

Please Ship to the address below

I will pick up in person

 

 *No extra charge to ship bags orderd with Tallit/Tefillin Subtotal: $

 

Personal Details (Please note: this information must match credit card billing address of cardholder)
First Name:   State:
Last Name:   Zip:
Address:   Email:
City   Phone Number:
         
Shipping Details
Same as above Yes No   Company
First Name:   State:
Last Name:   Zip:
Address:   Email:
City   Phone Number:
         
More Details
Referred by:   Comments: (Let us know which  Mezuzah scroll goes in which case if need be) 
Return Policy: We accept returns received within ten business days of purchase and we will refund you 100% minus the shipping.

 

Payment Details:
Please charge my credit card:    Card Number:
    CVV
     Exp. Date:
     Total Amount: $

  
Thank You for your business!  

 

 

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