Fill the form and fax it to +972-3-951-2580
We shall receive your order, process and send your business card for proofreading, and debit your card only after you confirm the proofreading.
please state:

Name of payer :_______________________________________
Address :____________________________________________
City :_______________________________________________
State :______________________________________________
Country :___________________________________________
Zip :___________
email address :_______________________________________

Name of institute :____________________________________
Position of payer :____________________________________
Telephone number :___________________________________
Fax :_______________________________________________

Credit Card :
Credit company :________________________________
Expire date :________________________
Number of Business Card to be ordered :________
Sum to be debited, not including shipment charges:_________US$

Card front:
Please print charm number :_______
Charm FULL name :____________________________________
on the front , above the blue background, please print The following name
___________________________________
Or
Logo (please send a scan of the logo if applicable- see email address at the bottom.)

Back of the card:

on the back of the card please print the following text:
______________________________________________________________________
_______________________________________________________________________
_____________________________________________________________________
Or
send a scan of your business card to us - in good quality.

Payer signature :_________________________________

Cost of order will be debited to your credit card only after proofreading and conformation, and the card will be printed after debiting.

All scanned file are to be sent to glassart@netvision.net.il .
Sincerely,
I l a n  K o r e n.