J.Lowy - Order Form

Yarmulke Manufacturing
718-338-7324 fax: 718-692-1003
940 East 19th St. ~ Brooklyn, NY 11230

J.Lowy Yarmulke Order Form

CLICK HERE FOR A PRINTABLE VERSION
OF OUR ORDER FORM

* - Starred fields are required!

E-Mail	*
Name	*
Address	*
City	* State *
ZIP Code	*
Phone	* Business Phone
Date of Affair
Quantity	Description
Color	(suede/leather)

Please click the checkbox next to the options you wish to have for your
yarmulkes. You can also click on the label to see the appropriate pages.
Then fill the fields which apply:

Pattern			Foil
Special Trim			Two-Color for Two Color Panel	1^st Color 2^nd Color

Accessory Amounts:

Yarmulke Clips: Black:				Gold:
White:				Silver:

Head Covers:				Ivory:
White:				Black:

White Lace w/Ruffled Edge: (in dozens, 12)
Flat White Lace: (in gross, 144)

Price Per Yarmulke:	$
Accessory Sub-Amount:	$
Total Price:	$

BENCHERS
BEN 102	BEN 104	BEN 108
DE 32	DE 33	KE 10
KE 25	KE 14	KE 13
Manshiron	Girchon	ZIG 2
NCSY	ZMYIS	ZIG 1	UTC
Check here if you want imprint to be same as yarmulkes



(There is a $10.00 set-up charge for printing of less than five (5) dozen.)
Shipping & Handling $
Include Your Tax (only in NY state)	%
Total Amount $

Full payment required with your order
Send check or money order to:

J. Lowy
940 East 19th Street
Brooklyn, NY 11230

For Imprinting Skull Caps Write Information Below:

Ln 1:
Ln 2:
Ln 3:
Ln 4:
Ln 5:

Type Style

Please choose Imprinting color: Gold Silver

Full payment required with your order

We will reply within two business days to confirm your order.

Link To:
Home Page | Yarmulka Designs | Order Form | Price List
Printable Order Form