Forms By Fax / By Mail

Forms By Fax / By Mail

Please type the information below and then print to fax.

First Name:Middle:Last:

Mailing Address:

City-Town:State-Province:

Zip:Country:

Telephone # :Fax-Facsimile #:

E-Mail :

Credit Card :

Credit Card Number:

Expiration Date:

Quantity:

Signature ____________________________________ Date _____/_____/_____

Please Fax to 972-2-6277864

or Mail To : RUBIN MASS Ltd.,
Publishers and Booksellers
POBox 990, Jerusalem 91009, Israel
Tel. 972-2-6277863

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