BOOK ORDER / Mail -In Form 

ITEM:	QUANTITY:
Family Purity: A Guide to Marital Fulfillment	_________ x $22.00 ea.	SUBTOTAL = $__________.00
Chochmat Hataharah	_________ x $18.00 ea.	SUBTOTAL = $__________.00
For orders outside of the USA - PLEASE EMAIL FOR EXACT COST: order@familypurity.com	IN USA SHIPPING IS INCLUDED	GRAND TOTAL= $__________.00

MAILING / SHIPPING INFO.

Please mail CHECK or MONEY ORDER payments to: Campus Living & Learning c/o Jacobs 88 N. Prospect Street Burlington, VT 05401

CUSTOMER INFO./ YOUR SHIPPING ADDRESS: First Name:___________________________________________ Last Name:___________________________________________ Address:_____________________________________________ City:____________________ State:______ Zip+4: ___________ Phone:______________________________________________ Fax:________________________________________________ Email:_______________________________________________