Registration Form

Please fill out the following form with a few details about yourself, your interests in Hebrew books. We regret that orders from unregistered parties cannot be proceessed.
Subscribers Name
Mailing Address
State or Province
Country
Telephone & Fax #
EMAIL Address
Are you associated with a school or institute of Jewish Studies?
Yes.No. Which:

How can we help you? 
Do you own or have access to a Microfiche reader?     Yes.No.
Do you own or have access to a PC with CD-ROM drive?  Yes.No.

How do you prefer to be contacted?  EMAIL.FAX.POST.

There is an annual registration fee of $25 for individuals and $125 for institutions. This fee will enable us to process your reproduction orders immediately.

You may either pay for orders direct via credit card - or - with a library card. This card will enable us to process your reproduction orders immediately. Upon receiving your application, with a valid credit card number, we will issue you a library card number which you may use on all orders. Payment method:

Visa: MasterCard: American Express:

Diner's Club: EuroCard: IsraCard: Personal Check:

Credit card number: Valid Until:

Confirmation of your order will be sent to the E-mail address listed above:

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