Printable Order Form

After printing and completing this form, please mail or FAX to:

Artistic Judaic Promotions
4990 South Lafayette Lane
Englewood, CO 80113
Phone 303-789-3879
Fax 707-929-0983
Toll Free Orders 1-877-443-8836

___Enclosed is a check made out to Artistic Judaic Promotions



___Please charge my credit card: MasterCard: ____ Visa ____ Discover _____  AMEX _____



Credit Card Number:_____________________________________



Exp Date:______________



Name as it appears on the card:__________________________________________________



Signature:__________________________________________________________________



Your Name:_____________________________________________________



Address:__________________________________________________




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City:________________________________State:__________Zipcode:____________




Daytime Phone #_____________________ Evening Phone #___________________



FAX number:_________________________ Email:______________________________

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Address:__________________________________________________


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Item #    Description            Quantity      Price     	Total Price

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