The Order Form
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INSTRUCTIONS: After
printing, please fill out every applicable field in the form below. If
you are including a check for payment, make the check payable to FAU FOUNDATION
- LIBRARY ACCOUNT. Mail your payment, along with the order form to: FLORIDA
ATLANTIC UNIVERSITY LIBRARIES, P.O. Box 3092, Boca Raton, FL 33431-0992.
Thank you!
| THE
LOST WOODEN SYNAGOGUES OF EASTERN EUROPE VIDEO |
| $29.95
per copy (includes tax, shipping and handling charges). Please
allow 4-6 weeks for delivery. |
| Please
send me _______ copies in English x $29.95 = __________. |
| Please
send me _______ copies in Hebrew x $29.95 = __________. |
| Please
send me _______ copies in Yiddish x $29.95 = __________. |
|
THE
LOST WOODEN SYNAGOGUES OF EASTERN EUROPE CD |
| Please
send me _______ copies in English x $29.95 = __________. |
| TOTAL
= $__________. |
Make
checks payable to: FAU Foundation - Library Account
Mail your payment, along with this order form to: FLORIDA ATLANTIC UNIVERSITY LIBRARIES, P.O. Box
3092, Boca Raton, FL 33431-0992
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| Name
(as it appears on credit card) |
| Address
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| City |
State |
Zip |
| Credit
Card Type (please check one): ___ VISA ___ Master Card |
| Credit
Card No. |
| Expiration
Date |
| Signature |
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