
ORDER FORM
| Lecture Title | Lecture Date |
Tape ID | Speaker | Price |
| 1. | | | |
| 2. | | | |
| 3. | | | |
| 4. | | | |
| 5. | | | |
| | | Total | |
Please print this form and then mail check or Visa / Mastercard information with completed form to:
Valley Beth Shalom - Website Tape Sales
15739 Ventura Boulevard
Encino, CA 91436
Or
Print this form and Fax the completed form together with Visa / Mastercard information to:
VBS tapes at (818) 379-9682
The cost of each audio tape is $5.00 for Valley Beth Shalom members and $10.00 for non-members.
Price includes postage, handling and tax.
| Credit Card (Circle One) | Visa / MasterCard |
| Card Number | Expiration Date |
| Card Holder Name | |
| Billing Address | |
| City, State, Zip | |
| Phone Number | |
Signature __________________________________________ Date _______________
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Are you a member of Valley Beth Shalom? ______
Send to (Please Print)
| Name | |
| Address | |
| City, State, Zip | |