I will be picking up my order from your location.
I will need my order shipped. [complete any shipping details below]

Customer Information:
Name:		Ship to Name:
Address:		Address:
City:		City:
State:		State:
Zip:		Zip:
Phone:		Email:

Note: Please make sure a phone number is entered above in the case orders need to be confirmed prior to shipping.

I would like to purchase the following:
Product:	Cost:	Quantity:
Basic Set	$35
Standard Set	$45
Deluxe Set	$55
The Rabbi Set	$75

Shipping Information:

To ensure quality and freshness we recommend these items ship Next Day AIR UPS, 1 Esrog with Lulav, Hadassim and Aravot weights about 2 pounds.

All orders ship via UPS. [see rates by clicking here] (Our zip code is 11230, 2 pounds per set, no dimensions needed, delivery service), please specify service: Please choose... Next Day Regular Next Day Air Saver 2nd Day Regular 3 Day Select Ground

All orders for Esrogim are subject to a $3.00 handling charge.

Higher quality Esrogim sets are available by special request, please use box below to make your request.

Comments and/or Special Requests:

Note: Orders must be received by
Thursday September 14, 2010. 12 Noon EST.

Payment Information: (optional)

I will be paying for my order via: Please select... Credit Card Check or Money Order

If paying by credit card, card type: Please select... MasterCard Visa American Express

Name on Card:
Card Number:
Expiration Date: