Contact Information
Company
Contact Person
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.

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