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Order Form

This document is an order form for publications from Yad Vashem in Jerusalem, Israel. It provides contact information for Yad Vashem including their website, address, phone and fax numbers. The form allows the customer to list publication titles and quantities being ordered, see individual prices and calculate totals. It requests personal and payment details from the customer to complete the order.

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Israel-Is
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We take content rights seriously. If you suspect this is your content, claim it here.
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67 views

Order Form

This document is an order form for publications from Yad Vashem in Jerusalem, Israel. It provides contact information for Yad Vashem including their website, address, phone and fax numbers. The form allows the customer to list publication titles and quantities being ordered, see individual prices and calculate totals. It requests personal and payment details from the customer to complete the order.

Uploaded by

Israel-Is
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Order Form

 Yad Vashem Publications


P.O.B 3477, Jerusalem 91034, Israel
www.yadvashem.org
Tel. 972-2-644-3511
Fax 972-2-644-3509
[email protected]

Purchase through our online store:


http://www.ecom.gov.il/YadVashem/homepage_en.aspx

Order details:
Title Price Quantity Total

Prices abroad include airmail


NIS 10 postage and handling charge in Israel

Personal details:
Full name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Institution/Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

...............................................................................................

Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enclosed please find a check payable to Yad Vashem, in the amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Credit Card No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exp. date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0 0 2

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