Chaim Peretz Vitrage Order Form

Order Form

You may pay for your purchase by credit card, check or money order.

Please send checks and money orders to:
israelVisit
P.O. Box 61495
Jerusalem, ISRAEL

Fill out your credit card details below.
Alternatively you can print out this order form, and fax it to us at ( 972-2) 625-9050.

Billing Details Please enter your details here exactly as they appear on your credit card statement.

	Surname
	First Name
Address:	Street

	City
	State	Zip
	Country
	Phone	Fax
	E-mail

Shipping Details (if different from above):

	Surname
	First Name
Address:	Street

	City
	State	Zip
	Country
	Phone	Fax
	E-mail

Credit Card Information

Credit Card

Number Expiry Date

ID number if ordering by credit card in Israel.

V.A.T. must be added to all orders made with Israeli credit cards or checks, as well as for all orders for delivery within Israel.

Comments:

Please note that if you are paying by credit card, your statement will show a charge for this purchase from the Marksman Testing System Limited.

Press this button to send us your order information:

Please send me the following:

	Quantity	Catalog Number	Description	Price
Hamsa
		cpham-3	The Double Hamsa	$19.99
		cpham-4	The Jeweled Hamsa	$19.99
		cpham-5	The Fish Hamsa	$19.99
		cpham-6	The Shield of David Hamsa	$19.99
		cphamB-1	The Big Eye Hamsa	$25.99
		cphamB-2	The Small Eye Hamsa	$25.99
Hanukiot
		cphan-1	The Menorah and Doves Hanukia	$194.99
		cphan-2	The Doves in the Pomegranate Tree Hanukia	$194.99
		cphan-4	Stained Glass & Silver Hanukia	$76.99
Havdala Sets
		cphav-1	Havdala Set	$214.99
Mezzuzot
		cpmez-1a	The Classic Mezuza Cover	$23.99
		cpmez-1b	The Classic Mezuza Cover	$25.99
		cpmez-1c	The Classic Mezuza Cover	$28.99
		cpmez-2a	The Torah Scroll Mezuza Cover	$23.99
		cpmez-2b	The Torah Scroll Mezuza Cover	$25.99
		cpmez-2c	The Torah Scroll Mezuza Cover	$28.99
		cpmez-3a	The Ten Commandments Mezuza Cover	$23.99
		cpmez-3b	The Ten Commandments Mezuza Cover	$25.99
		cpmez-3c	The Ten Commandments Mezuza Cover	$28.99
		cpmez-4a	The Jerusalem Mezuza Cover	$23.99
		cpmez-4b	The Jerusalem Mezuza Cover	$25.99
		cpmez-4c	The Jerusalem Mezuza Cover	$28.99
		cpmez-5a	The Eternal Flame Mezuza Cover	$23.99
		cpmez-5b	The Eternal Flame Mezuza Cover	$25.99
		cpmez-5c	The Eternal Flame Mezuza Cover	$28.99
		cpmez-6a	The Shield of David Mezuza Cover	$23.99
		cpmez-6b	The Shield of David Mezuza Cover	$25.99
		cpmez-6c	The Shield of David Mezuza Cover	$28.99
		cpmez-7a	The Dove and Grapevine Mezuza Cover	$38.99
		cpmez-7b	The Dove and Grapevine Mezuza Cover	$39.99
		cpmez-7c	The Dove and Grapevine Mezuza Cover	$45.99
		cpmez-8a	The Lagre Dove and Grapevine Mezuza Cover	$38.99
		cpmez-8b	The Lagre Dove and Grapevine Mezuza Cover	$39.99
		cpmez-8c	The Lagre Dove and Grapevine Mezuza Cover	$45.99
Pessach Seder Plates
		cppes-1	Pessach Seder Plate	$309.99
		cppes-2	Pessach Seder Plate	$309.99
Shabbat Candles
		cpsha-1	The Doves in the Grapevine Shabbat Lights	$146.99
		cpsha-2	The Doves in the Pomegranate Tree Shabbat Lights	$146.99
		cpsha-3	Shabbat Candlesticks	$146.99
Tzedaka (Charity) Boxes
		cptze-2	The Menorah and Grapes Tzadaka Box	$136.99
		cptze-2b	The Large Menorah and Grapes Tzadaka Box	$146.99
		cptze-3	The Menorah and Doves Tzedaka Box	$136.99
		cptze-3b	The Large Menorah and Doves Tzedaka Box	$146.99
		cptze-4	The Grapevine Tzadaka Box	$136.99
		cptze-4b	The Grapevine Tzadaka Box	$146.99
		cptze-5	Tzedaka Box	$149.99

Credit Card
Number		Expiry Date
ID number	if ordering by credit card in Israel.