PERSONALIZED NAMES ORDER FORM

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KAVANAH STUDIOS ©



Donna C. Moskowitz

& Robert L. Moskowitz, Ed. D.

422 Jamaica Drive (New Address)
Cherry Hill, New Jersey 08002
(Phone or FAX 609-779-2683)
E-MAIL: kavanahstudios@yahoo.com


Date Purchased:________________________   Date Needed:_________________



Customer Name:___________________________________________________________



Address:____________________________________________________________________



______________________________________________________________________________



Day Phone:(      )_________________Evening Phone:(     )_________________



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English Name:_____________________________________________________________



Hebrew Name:(Spelling Checked? Yes___No___)_________________________________



Picture Requested:________________________________________________________



Preferred Colors:_________________________________________________________



Mat Color:_________________________  Frame Color:________________________



English Birth date:________________________________________________________



Hebrew Birth date:________________________________________________________



Special Considerations:



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                        COST: $45

 PERSONALIZATION: $10

                DELIVERY:

             TOTAL DUE:

                        PAID:



I have read and approve all of the information on this form:



Signed:__________________________________________________________Date:____________________



Please allow 2-4 weeks for delivery.



All prices subject to change without notice..




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