The Jerusalem gallery
of Joseph Yeheskely
ORDERING A PAINTING FROM THE JERUSALEM GALLERY
Date:
Catalog No:
If you want to buy more then one painting , please fill a separate form for each one.
Total sum: $ US
Payment 1:
$ US
Date 1:
Payment 2:
$ US
Date 2:
Checks should be sent only after telephone confirmation.
CLIENT’S INFORMATION:
Last Name:
First Name:
Name of business/company:
Name of organization/institution:
Area code +Telephon No:
Fax No:
Country:
City:
Home Address+ Zip Code:
E-mail Address:
E-mail
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