Hebrew Blessings by Joel Moskowitz

Order Form

Print this form, fill it out and mail it to
Joel Moskowitz Fine Art
19 Lakewood Dr.
Sudbury, MA 01776

Customer Information: (please print)

Name

_______________________________

Phone #

______________________________

Address

____________________________________________________________________

City/State/Zip

____________________________________________________________________

Ship To: (if different from above address)

Name

____________________________________________________________________

Address

____________________________________________________________________

City/State/Zip

____________________________________________________________________

Method of Payment:

Check (made payable to "The FrameLoft") ___ MasterCard ____Visa ___

Card Number________________________________ Expiration Date _________

Order Information:

Shipping and Handling

Shipping & Handling for Matted Prints
1 to 2 prints	$6.00
3 to 4 prints	$10.00
5 or more:	$14.00

Merchandise Total

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Mass. Sales Tax
(Residents only,
add 6.25%)

__________

Shipping and Handling

__________

TOTAL - Thank You

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