Telephone (phone number a must to process your order!)
Fax
Address1
Address2
City
State
Zip
Drop Ship to Different Address (Dealer will be charged $5.00 to
handle each drop ship order)
Attention to:
Address1
Address2
City
State
Zip
Product Information
Quantity
Style No.:
Use verse as shown:
Yes
No Use
verse shown on Style No.
Custom Verse
Enter custom text:
Custom Liner Color Desired:
Hebrew Blessing Desired:
Yes No
Shipping Information
Shipping (please select one)
Substitutions
DO NOT SUBSTITUTE
Alternate Style No.:
Alternate Liner Color:
Printing Information
Imprint: Type the name exactly as it is to appear on the card,
including commas and dashes:
Flap Printing: In this space, type exactly the two line address to
appear on envelope flap:
Please note: Catalogs and albums are shipped prepaid only (we pay freight).
Credit applications must be submitted prior to first order or orders will be
shipped COD until credit is approved.