Mail to:            Infomedia Judaica, Ltd.

                                        Att’n: CWIB

                                        19785 West 12 Mile Rd., #521

                                        Southfield, MI, 48076-2584

                                        USA

                                    or Fax to:          248-352-2665

                                    or e-mail to:      cwib@imjl.com

 

ORDER FORM

 

Please send the following items, to be paid and shipped as shown below:

 

 

Cat. Code              Item                                                                                                        Quantity                Price (US$)            Total

                                                                Books & CD-ROMs

MMB001                Album: Children of the World Illustrate the Bible                       ______                  59.00                      _____

MMH001                Passover Haggadah                                                                          ______                  39.00                      _____

MMD002                Children of the World Illustrate the Bible (Tanakh)                    ______                  69.00                      _____

                                                                Posters & Cards

MMP001F              Poster, full-size (specify language)                                               ______                  24.00                      _____

MMP001H             Poster, half-size                                                                                 ______                  15.00                      _____

MMP002                Posters, set of 4, medium-size                                                       ______                  19.00                      _____

MMP003                Postcards, set of 8                                                                            ______                  19.00                      _____

MMP004                Mini-Prints, various subjects, set of 12                                        ______                  19.00                      _____

MMP005                Mini-Prints, “Tower of Babel” theme, set of 12                          ______                  19.00                      _____

MMP006                Mini-Prints, “Jonah” theme, set of 12                                           ______                  19.00                      _____

                                                                Calendars

MMC001                Desk Calendar                                                                                    ______                  19.00                      _____
MMC002                Desk Calendar – Jewish Year 5762 (2001-2002)                       ______                  19.00                      _____
MMC003                Wall Calendar – Jewish Year 5762 (2001-2002)                        ______                  19.00                      _____

         Subtotal:      _____

For Michigan shipments add 6% Sales Tax (if exempt, provide copy of certificate):        _____

                                                                                                                                    Shipping charges (see detail below*):      _____

                                                                                                                                                TOTAL enclosed or authorized:      _____

 

*Ground shipping charges, US and Canada: Album, $7.50; all other products, $5.00. Contact us for express,

foreign, and multiple orders. Please allow 3 weeks for delivery.

 

………………………………………………………………………………………………………………………

 

Billing detail for VISA or MasterCard orders:                           Ship to (if different from billing address):

 

Name: _____________________________________   Name: _______________________________________
Street: ___________________________________   Street 1: ___________________________________

City: _____________________________________   Street 2: ___________________________________

State/Prov: _________ Zip/PC: _____________   City: _______________________________________

Phone: _______________ Fax: _______________   State/Prov: __________ Zip/PC: ______________

e-mail: ___________________________________   Phone: ________________ Fax: ________________

Card No.: _________________________________   e-mail: _____________________________________

VISA __ M/C __   Expiration Date: ___ / ___

Signature: ________________________________