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Centre of Israeli Numismatic Specialities

C . O . I . N . S .

Fax: 1-815-361-6027 (efax) * E-mail: isracoins@isracoins.com

Postal address: C.O.I.N.S., P.O.B. 62127, Tel Aviv 61620, Israel

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ORDER FORM (BY E-MAIL, FAX, OR MAIL)

 

CUSTOMER INFORMATION

Name:

 

Address:

 

Place:

 

Zipcode:

 

Country:

 

Dayphone:

Nightphone:

Fax:

 

E-mail:

 

 

 

DETAILS OF ORDER

CATALOGE
#

DESCRIPTION

QTY.

PRICE

EACH

USD

TOTAL
USD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal (minimum per order USD 10.00)

 

Order up to USD 49.99 add postage USD 3.00

 

*If paid by cheque or M/O, issue to "PINCHAS BAR-ZEEV ONLY"

 

T o t a l P a y m e n t U S D

 

 

Payment method (please mention):

PayPal 'Send Money'

cash

cheque*

Faxed order to: 1-815-361-6027 (efax USA number)

E-mailed order save and send as attachment to: isracoins@isracoins.com

Mailed order send with payment to: C.O.I.N.S., P.O.B. 62127, TEL AVIV 61620, ISRAEL

Orders are shipped by registered airmail, upon receipt of payment or clearance of cheque


Thank you for your order !