Lee OrLev 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

and make checks payable to Lee OrLev

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.

Please send me the following:

	Quantity	Catalog Number	Description	Price
Hamsa
		lolham2	Silver Hamsa with 14k gold ornamentation, Turqiouse & Garnets embedded	$220.00
		lolham3	Silver Hamsa with 14k Gold decorations, Turquoise & Slate embedded	$230.00
		lolham4	Silver Hamsa with 14k Gold decorations, Garnet & Avanturine embedded	$80.00
Pendants & Broaches
		lol08	Perfume Bottle Pendant	$80.00
		lol09a	Silver Bead Pendant	$75.00
		lol09b	Silver Bead Pendant	$150.00
		lol10	Pendant for Your Secret Thoughts & Dreams	$150.00
		lol11	Sterling Silver Pendant	$220.00
		lol12	Sterling Silver Pendant	$230.00
Mezuzas
		lolmez1	Silver Mezzuza case with Fine Gold Leaf	$180.00
		lolmez2	Silver Mezzuza case with Fine Gold Leaf	$180.00
		lolmez3	Silver Mezzuza case with Fine Gold Leaf	$180.00
Rings
		lol05	Bird Ring	$300.00
		lol06a	Ring with 6 Birds	$150.00
		lol06b	Ring with 2 Birds	$150.00
		lol07	Sterling Silver and Inlaid Gold Rings	$120.00

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.

By Israeli law, V.A.T. will be added to all orders made with Israeli credit cards or checks, in addition to all orders that are 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 Marksman.

Press this button to send us your order information:

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