Subscription & Renewal E-form 2 (back up)

Sponsorships Donations & Rosh Hashana Greetings
Free Samples
Contact Us & Links
Use this convienent  form to subscribe directly by e-mail (without paypal), using your Visa, M/C or Amex:
Even if you paid thru PayPal, you should submit this form to provide us with additional details.
* Use "TAB" to move from one field to the next.
*  After completing form, don't forget to press "submit" button on bottom right corner.

I am...(Check One)A First time Subscriber
Renewing my Subscription
Street Address & Apt #:
City / State / Zip:
Home Phone No.
Work Phone:
Email address:
Subsc. Type (check one)Regular US Mail, ($40)
Cananda (mail), $54 US Dollars
Overseas (Mail), $65 US Dollars
Only E-Mail Version, $25
Special First Class US Mail, $55
Check Here if you want email too - in addition to Regular Mail (No Extra Charge)
I heard of Al Hadaf in...
I want to pay by..MasterCard
Visa Credit Card
American Express Card
I paid thru PayPal
Credit Card # (include dashes)
Expiration date: (mm/yy)
Gemara Shabbos Menukad?Yes! Please send Gemara and charge my credit card ($15 for New Subscribers / $20 for current members)
No, Thank You!
Comments or Questions

Al Hadaf * POB 791 * Monsey NY, 10952 *  Ph. 845-356-9114 *