FOR OFFICE USE ONLY
MZ	T	MG/ST	L	SFR	S/D	PD

Online Ordering

In order to serve you better and keep prices low, instead of a secure shopping cart system, I have chosen to use Paypal as my method for accepting electronic payment. My Paypal account name is ydbe@hotmail.com.
Of course, you may choose to send a check or money order instead. Your order will be shipped immediately after the funds clear. All funds on U.S. banks only, please. Mail this form to 3 Cabinfield Circle Lakewood NJ 08701 (the address given on my Contact page) or fax to 801-838-2248.

Name
Address
City
State
Zip
Phone
Email

Method of Payment

Paypal

Check/Money Order

Other

Mezuzos
To see the writing samples, first go to the Mezuzah page.
QTY	PRICE	SOFER	STYLE	SIZE
	$36	Mordechai	Sefardi	10cm
	$40	Glass	BY	10cm
	$55	Grossman	BY	10cm
	$50	Buxbaum	Ari	12cm
	$65	Dodovitz	BY	12cm

NOTE
All Mezuzos come with a FREE sturdy case made of clear acrylic. As an attractive upgrade, especially for those Mezuzos which will be hung outdoors, I recommend a waterproof metal case. Upgrade to metal for only $3.50.

Check this box if you want the metal case.
Please circle a case color: Gold Silver White
Check this box if you DO NOT want any case.

Tefillin
To see the writing samples, first go to the Tefillin page. For Rabeinu Tam Tefillin, you must contact me for availability.
QTY	Battim	Scrolls by:	STYLE	R/L	KNOTS	PRICE	RETZUOS
	Circle: Machine-$300 Hand- $450	Circle: Tzi-$225 D. Taylor-$325 Merkolevski-$425 Forman-$525 Brodie-$625 Rosenfeld-$725	Circle: Beis Yosef Arizal	Circle: Righty Lefty	Circle: Nusach Ashkenaz Nusach Sefard		Included

Megillah/Sefer Torah
Due to frequent changes in inventory, you must contact me for availability.
QTY	PRICE	SOFER	STYLE	SIZE

Torah Reading CD/Tape
To hear a sample go to the Layning page.
QTY	PRICE	PARSHA HAFTORAH	CD/TAPE
	$30		CD
	$25		Tape

Shipping and Handling Fees

Online Ordering

NOTE All Mezuzos come with a FREE sturdy case made of clear acrylic. As an attractive upgrade, especially for those Mezuzos which will be hung outdoors, I recommend a waterproof metal case. Upgrade to metal for only $3.50.

NOTE
All Mezuzos come with a FREE sturdy case made of clear acrylic. As an attractive upgrade, especially for those Mezuzos which will be hung outdoors, I recommend a waterproof metal case. Upgrade to metal for only $3.50.