ORDER FORM

The Jewish Community of the North Shore


Please print this page, fill out the form and enclose a check payable to Jewish Historical Society of the North Shore. Mail to 1 Community Road, Marblehead, MA 01945-2799.


I wish to order _______ copy/copies of the book The Jewish Community of the North Shore for a donation of $20.00 each. Please add $2.50 for shipping and handling for the first book and $1.00 for each additional book if you are not picking up your order at our office.



Name

Address

Phone

City/State/Zip


Check attached (payable to Jewish Historical Society of the North Shore)

Charge    American Express    MasterCard    Visa



Account Number

Expiration Date

Authorized Signature

Email Address


Your credit card will be charged at the time of pick-up or shipping.

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