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      Kippot/Benchers Secure Order Form
  Please fill this form out completely & click the "Submit Form"button, or print it out
     and mail/fax it to us with your check, money order or credit card information to:

 If mailing the order form in, please mail C/O the following (**this is for mail and shipping purposes only and is not our retail store address - if you would like to see us, our products and services in person, please call us for an appointment: (954) 894-8775 or e-mail us: info@MazalTovPages.com):  

MazalTovPages.Com, Inc.
4860 Sheridan St.
Hollywood, Fl. 33021
Tel: (954) 894-8775
Fax: (954) 416-6684
E-mail: Info@MazalTovPages.com
Monday - Friday 10:00 A.M. - 5:00 P.M. (Eastern)
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You may phone or fax your order in to the above numbers.
We will begin work on processing your order as soon as we receive this form.
For more information, please contact us and we'll respond promptly.
You may include imprint text for your order in the appropriate field below (Kindly Scroll Down).
*Note! Special discounts on larger quantities - please call for details.
   Please feel free to call to check on the availability of unlisted colors.

**Our minimum kippot purchase order is $25.00

    Judaica Store Home | Kippah Design Samples | Benchers | Price List for Kippot & Benchers

  • We ship via UPS nationwide by the most expeditious and economical means available

  • We handle rush orders. (*Rush orders may incur extra charges.)

  • Our delivery time on kippah orders is generally about 4 weeks. (Fancy satin, silk, brocade, velvet, jeans, or knitted kippot require approx. 5-6 weeks production time.)

  • All orders are prepaid. (Personal Checks - allow 10 business days to clear before we will begin processing the order.)
    *Customer will be responsible for a $39.00 bank service charge fee on any bounced check.

  • Prices do not include shipping and handling, please see table below

Personal Information

**(Will be used for billing & shipping. If shipping address is different, please make a notation in the message box and provide the shipping address in the "ship to" fields at the bottom of this order form.)
*If you find the form below complicated or you don't want to fill it out, you are welcome to e-mail us your order. (**Make sure to provide us with your name, billing & shipping address, telephone/fax #'s, the item(s) that you want to purchase, qty, cat. #, desciption, i.e.: size, color, price, personalization text - if applicable, as well as any special instructions that you may have, and then we will call you to obtain your credit card information, if you will not include it in our secure e-mail system).

All fields noted with an ( * ) must be filled in.

Name:*
Company:   
Address 1:*
Address 2:   
City:*
         
State:*
         
Zip Code:*
  
Country:*
(Required out of the U.S.)
E-mail:*
Tel:*
Bus. Tel: 
Fax:*
(Required for imprinting)  
Date of Affair:  
   
Order Information
*Please use the appropriate box/field for your specific kippot order from the following:
Description:
  Color:
 Quantity: Trim:
Satin (Basic)
(6 panels w/optional Button)
Satin Trim (extra charge): Gold   Silver  None
Button on Top (No extra charge): Yes No
Moire (Basic)
(6 panels w/optional Button)
Moire Trim (extra charge): Gold  Silver   None
Button on Top (extra charge): Yes No
Brocade (Basic)
(6 panels w/optional Button)
Brocade Trim (extra charge): Gold  Silver   None
Button on Top (extra charge): Yes No
Velour (Cotton Suede)
Velour Trim (extra charge): Gold  Silver   None
Velvet (Basic)
Velvet Trim (extra charge): Gold  Silver   None
Fancy Velvet
Catalogue No.:
(60 pcs. min.)
Panels: 4 Panel 6 Panel (free of charge)
Fancy Velvet Trim Embroidery or Stitching (extra charge): Yes No
Fancy Stitching Trim Catalog No. (see samples):
Fancy Satin
Catalogue No.:
(60 pcs. min.)
Panels: 4 Panel 6 Panel (free of charge)
Fancy Satin Button on Top (free of charge): Yes No
Fancy Satin Trim Embroidery or Stitching (extra charge): Yes No
Fancy Stitching Trim Catalog No. (see samples):
Fancy Silk
Catalogue No.:
(60 pcs. min.)
Panels: 4 Panel 6 Panel (free of charge)
Fancy Silk Button on Top (free of charge): Yes No
Fancy Brocade
Catalogue No.:
(60 pcs. min.)
Panels: 4 Panel 6 Panel (free of charge)
Fancy Brocade Button on Top (free of charge): Yes No
Jeans Kippot
Catalogue No.:
(60 pcs. min.)
Jeans Kippot Button on Top (free of charge): Yes No
Military Kippot
Catalogue No.:
(60 pcs. min.)
Panels: 4 Panel 6 Panel (free of charge)
Military Kippot Button on Top (free of charge): Yes No
Knitted Kippot      
Catalogue No.:
 
Suede
Catalogue No.:

Suede Trim (extra charge): Gold  Silver   None
Other Trim (Please Specify)
Leather
Catalogue No.:

 Leather Trim (extra charge): Gold  Silver   None
Other Trim (Please Specify)
Sports Leather      
 
                           
 *Note: Color appearance online may differ slightly from actual depending on Browser.


If you would like to emboss your suede or leather kippah, please click here to select the Embossing Pattern,
Embossing Type (Blind, Multi-Color or Foil) and to see the choice of Foil Embossing Colors.

Enter Embossing Pattern Below:

For Suede:
Blind Embossing  Multi-Color Embossing
                                                 Foil Embossing (Please choose foil color in the following drop-down box.)  
                 Foil Color                                 
                                                     
For Leather:
Blind Embossing  Multi-Color Embossing
                                                 Foil Embossing (Please choose foil color in the following drop-down box.)  
                 Foil Color  
                               
* Please check our price list for correct kippah pricing.
*There is a $15.00 set-up charge for imprinting less than five (5) dozen.
(Not applicable to fancy satin, silk, brocade, velvet, jeans, or knitted kippot - 60 pcs. minimum order for those.)

Yarmulke or Benchers Imprint: (*Please note that text will be centered, unless otherwise noted in comment box below (Kindly Scroll Down).)
Please enter personalization imprinting and layout;
Can be all English, Hebrew or Both (Max 5 lines), i.e.:
(L1) Wedding (Bar/Bat Mitzvah) of; (L2) Name(s); (L3) Hebrew Name(s); (L4) Date of Affair; (L5) Hebrew Date or Name of Place
*You are welcome to be creative and come up with your own ideas as far as imprinting text,
its wording, layout, etc. or use our sampled layout above for your convenience.

 *You can use the Hebrew Keyboard to help you type the Hebrew and then copy and paste it into the text box above. (**Please note, sometimes there are gliches in the system and we may not receive the sent Hebrew characters, so it's best to always check if we actually got them. You may also want to send us a copy of the Hebrew text via e-mail which usually works best.)

Imprint color: Gold     Silver    Black     White (*Recommended only for dark or black backgrounds)
(Knitted Kippot Only:-->) Clear Label Solid Label

Embroidery:
(top of outside panel for fancy satin, silk, velvet, jeans or brocade kippot only!)
($.75/panel per piece extra charge - please add to base kippa price when checking out order below)
Embroidery Initials, Design or Text: (8 charachters limit)

Embroidery color for the box above: Gold     Silver     White     Black      
(For a specific embroidery thread color other than the ones shown above, please contact us.)

*We can also imprint your name(s) and date in Hebrew. Please provide us with the
Hebrew name(s), correct spellings, and Hebrew date of affair via fax (954) 416-6684 or
spell out each Hebrew letter in the comments box below (Kindly Scroll Down).
(For Example: Wedding of David and Sarah Cohen, 25 Tishrei 5763)
If you check any of the boxes below, we will also imprint in Hebrew the corresponding
Hebrew calendar date to the English date provided, and/or your Hebrew name(s).
Add the Hebrew Date:       Yes No
Add the Hebrew Name(s): Yes No
If you don't know how to spell in Hebrew and would still like to add your provided
Hebrew name(s) and/or Hebrew date to the imprinting text, by checking the box below,
you give us the authorization to spell the Hebrew name(s) and/or date in Hebrew for you.
Hebrew Spelling Authorization:

 
 
***We can calculate your Hebrew birthdate or any Hebrew date for you, if you would provide us via e-mail with your secular birthdate, or any secular date & year, for which you would like to find the corresponding Hebrew date.

Use the following box for any specific messages, instructions or comments:
(*Please bring our attention to any specific spelling of names that may be different, etc.)

**Would you like a custom logo to be imprinted on benchers? (Additional $60.00 set-up charge.) Yes No
Please click here to view the custom logo designs that we have available.
Just add BENCHER LOGO for the Description & Price to the total order in the order information table below (Kindly Scroll Down).

Quantity
Description/Code #
Color
Price @
Total
Merchandise Total
There is a $15.00 set-up charge for printing of less than five (5) dozen.     
 S&H Shipping & Handling
(Please see table below)
FL Residents Add 6% Sales Tax
Total

Shipping & Handling Table

Order Amount
Shipping Charge (Ground)
For an order of $1.00 to $24.99
Add $10.00
For an order of $25.00 to $49.99
Add $12.00
For an order of $50.00 to $99.99
Add $14.00
For an order of $100.00 to $199.99
Add $17.00
For an order of $200.00 to $399.99
Add $22.00
For an order of $400.00 or more
Add $27.00
Three Day Air Express Add an extra $8.00 to all the UPS Ground S&H fees listed above.
Two Day Air Express Add an extra $18.00 to all the UPS Ground S&H fees listed above.
Overnight Air Express Add an extra $28.00 to all the UPS Ground S&H fees listed above.
*Please note: The above table is used for an approximate UPS Ground S&H fee range and is just an estimate with a + or - variable for the U.S. only, (excluding Puerto Rico, Virgin Islands, Alaska & Hawaii). If the actual S&H cost will be excessively over the amount given in the table above due to # of items in the package, weight or location, the difference will be charged to your credit account. For International Orders S&H fees, contact us. **Please read about our shipping guidelines in our merchant policy.
*Drop shipping charges may be added for direct shipment orders from our printing companies to our customers.
*Delivery time on kippah orders is generally about 4 weeks. *Rush orders may incur extra charges.


 
We accept American Express, Visa, Mastercard, Discover and Pay Pal. If you have a Pay Pal account simply go to
www.PayPal.com and send funds for the amount of your order to our email address: orders@mazaltovpages.com

      Please Check One:
  (If not paying by check)
Visa    Master Card  
Amex  Discover
Payment Info.*
Name on Card*
Credit Card No.*
  
Exp. Date*
C/C Security Code#:* *Please type in the last three digits of your credit card verification security code # located in the back of your (Visa, Master Card, or Discover) credit/debit card, in the provided box below: (Amex accounts; please type in the last four digits above your credit account # on your card):

Online Signature:*

 By typing your name in the "Online Signature" below, and clicking the "Submit Form" button on bottom of this form, you hereby agree to the Terms and Conditions of MazalTovPages.com Merchant Policy and hereby authorize the credit card payment for the merchandise ordered.
How did you
hear about us?
 Please Check:
Friend/Business E-mail Radio
Flyer/Mail Ad Search Engine
Other, please specify in box below


                   
                  Name:
                  E-mail:		 If you checked the box above for a friend,
please provide us with his/her name and
e-mail so that we can send a thank you.

Please ship kippot order to (fill out only if ship to address is different than bill to):

Name: 
Address 1:
Address 2:
 City: 
State: 
Zip:
Country:*
(Outside of U.S.)
Tel:
Bus. Tel:

*If you find the form above complicated or you don't want to fill it out, you are welcome to e-mail us your order. (**Make sure to provide us with your name, billing & shipping address, telephone/fax #'s, the item(s) that you want to purchase, qty, cat. #, desciption, i.e.: size, color, price, personalization text - if applicable, as well as any special instructions that you may have, and then we will call you to obtain your credit card information, if you will not include it in our secure e-mail system).

*No returns on printed, personalized, customized or special order items.

**Our minimum kippot purchase order is $25.00

Full payment required with your order.

*If we are unclear on any specifics of your order, we will contact you. Otherwise, we will promptly begin working on your order.

Thank you for using our service!

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