The Miriam Weiner
ROUTES TO ROOTS FOUNDATION, INC.

Please print out and mail/fax completed form to:

Routes to Roots Foundation, Inc., 136 Sandpiper Key, Secaucus, NJ 07094
TELEPHONE 201/866-4075
FAX 201/864-9222


Name: ____________________
Address: ____________________
City: ____________________
State: ____________________
Postal Code: ____________________
Country: ____________________
Institution: ____________________
Telephone: ____________________
FAX (Optional): ____________________
E-Mail (Optional): ____________________
 
Please send ____ copies @ U.S. $50 of JEWISH ROOTS IN POLAND, to the above address

check or money order in U.S. funds Payable to: Routes to Roots Foundation, Inc.
      
(check or money order must include address/telephone number.)




Item
Qty
Each
Total
Shipping and Handling/ first book:
U.S $10.00
Foreign
$35.00 (available only by air)

Additional copies/same address,
add (per book):
U.S $10.00 / Foreign $15.00

Book Weight: 6 lbs.
ISBN 0-9656508-0-4 (JRP)

Jewish Roots in Poland
$50.00




NJ residents add 7% sales tax


Shipping (1st copy)


Shipping (additional copies)


Total Enclosed



 
Alternate shipping address

Name: ____________________
Address: ____________________
City: ____________________
State: ____________________
Postal Code: ____________________
Country: ____________________
Check MUST accompany ALL ORDERS. Books will be shipped via UPS ground or U.S. mail foreign orders). We cannot ship to P.O. Boxes. Orders outside the U.S. will be shipped by air. All orders MUST be in U.S. dollars.

The Routes to Roots Foundation, Inc. takes
no responsibility for packages shipped out of the country. Only defective books may be returned for replacement and must be returned within 30 days in order to be replaced.