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
$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 = __________.
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
Name (as it appears on credit card)
Address
City State Zip
Credit Card Type (please check one): ___ VISA ___ Master Card
Credit Card No.
Expiration Date
Signature