| Date: ____________ Name: ____________________________ | Send to: |
|---|
| Check your choices below or enter number and letter from the sample page: ___ Number ___Letter. Design: 1.___Horizontal, 2.___Vertical, 3.___Checkerboard, 4.___Rainbow, 5.___Rectangles, 6.___Joseph'sCoat, 7.___Joseph's Coat V-Neck, 8.___ Simple version (horizontal) Custom Colors:________________________________________________________________ |
<*dv_6*> ___ Full Size ( 72"x42" to 76"x46") $420.00,
<*dv_4*> ___ Medium Size ( 64"x18" to 70"x24") $380.00
___ Small Size (58"x10" to 63"x16")$360.00,
<*dv_1*> ___ Joseph's V-Neck (60"x8" to 80"x16") $360.00 (your height_______)
Special Requests/Comments:____________________________________________________
<*dv_0*>___Shipping address same as mailing address or
| ___ Gift, Name of Receipient:____________________________________________________ <*dv_2*> Address: ___________________________________________________________________ State and Country:_____________________________ Zip or Postal Code: _______________ Birthday or Date you would like delivery (please allow 2-3 weeks):___________________________ |
Make Check or Money Order payable to : Michael Goldstein
Please fill out a seperate form for each Tallit.
You will receive:
<*dv_5*> A Custom Handmade Tallit - A Matching Tallit Bag - Shipping & Handling Included,
an e-mail, fax or phone call when tallit & bag are sent.
It is my privilege and honor to make a tallit for you. If for any reason you wish to return the tallit, I will send back to you the full amount of money you sent me.