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   15739 Ventura Boulevard, Encino, California 91436 / 818-788-6000 / info@vbs.org 

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ORDER FORM

  Lecture TitleLecture Date Tape IDSpeakerPrice
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 NumberExpiration Date                   
Card Holder Name 
Billing Address 
City, State, Zip 
Phone Number 

Signature __________________________________________   Date _______________ <>

Are you a member of Valley Beth Shalom? ______

Send to (Please Print)
Name 
Address 
City, State, Zip