USE THIS FORM TO ORDER BOOKS BY MAIL OR FAX
[please print out this form and complete clearly]

Your name:   _____________________________________________________________

Mailing Address:  _________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Telephone Number:    ______________________

E-mail Address:          ________________________________

Requested Inscription:

________________________________________________________


Number of books requested:    ____   x    $17.56/ book*                     =  $___________
(*note: shipping @ $2.61/book included in price)

California residents add sales tax of 7.5% ($1.38/book)                      =  $___________


                               
                              TOTAL ENCLOSED      =   $___________

Please pay by check using this form.


PLEASE MAIL FORM TO (and make any checks payable to):

RABBI MICHAEL LOTKER
20168 VILLAGE 20
CAMARILLO, CA 93012
Order Form