Please print out and mail completed form to:
Routes to Roots Foundation, Inc., 73 Harbor 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.)

Shipping and Handling/first book:
U.S $15.00
Foreign $35.00 (available only by air)

Additional copies/same address,
add (per book):
U.S $8.00 / Foreign $10.00

Book Weight: 5 lbs.
ISBN 0-9656508-0-4

!
Item Qty Each Total
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: ____________________

Checks 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. Foreign 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.



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