MISSION TO ISRAEL P.O. Box 248, Scottsbluff, Nebraska 69363Order Form Print out this form on your printer, fill it out ( ) and send in. Date:________________ Name:____________________________________________________ Address:__________________________________________________
City, State, Zip:_____________________________________________
Phone Number (Optional): (______)_________________
Email Address (Optional): ____________________________________
Item Number | Quantity Ordered | Brief Description | Suggested Donation |
| | | | $ |
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| Total: | $ |
Postage & Handling=10% ($1.00 minimum): | $ |
| Freewill Offering: | $ |
| Total enclosed (U.S. Funds): | $ |
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