| |
Quantity |
Price |
Total |
| |
|
|
|
| FOR WOMEN |
|
|
|
| - Olive Oil with Cloves |
|
$19.98 |
|
| - Olive Oil with Mint |
|
$19.98 |
|
| - Olive Oil with Cinnamon |
|
$19.98 |
|
| |
|
|
|
| FOR MEN |
|
|
|
| - Olive Oil with Cloves and Fenugreek |
|
$19.98 |
|
| - Olive Oil with Mint and Fenugreek |
|
$19.98 |
|
| - Olive Oil with Cinnamon and Fenugreek |
|
$19.98 |
|
Order any 3 bottles at $47.94 You save $12.00 The 4th bottle and more will cost you only $15.98 Saving $5.00 |
|
|
|
| GRAND TOTAL |
|
$_______ |
|
Chizkiyau Hamelech 39/7, Jerusalem – Israel 93190
Tel. +972-2-571-6032 - Fax +972-2-571-4322
Email: chaim@chalfon.com
Details:
Name: ________________________________ Street Address: ______________________
Town: ____________________ City: ________________________ State: ____________
Postcode: _____________________________ Country: ____________________________
Telephone: ____________________________ Fax: ________________________________
Email: ______________________________________________________________________
Shipping Details (if different from above):
Name: ________________________________ Street Address: ______________________
Town: ____________________ City: ________________________ State: ____________
Postcode: _____________________________ Country: ____________________________
Credit Card Details:
Card Holder’s Name: ___________________________________________________
Card Type (Specify): ________________________________________________________
Card Number: ______________________________________________________________
Expiration Date: ____________________________________________________________
Last 3 digits on the reverse side of card (where applicable): _______________