YESHIVA VIDEO TAPE ORDER FORM


Date of Order _______________  Check No. ________  Cash $______ 
[all orders must be paid in advance]


Name _____________________________________________

  
Phone __________________________

Address 

________________________________________________________________________  


Yeshiva Course	

________________________________________________________________________


Qty.  ____________	Video Tapes with handouts @ $100


Mail order form and payment to:
Baruch HaShem Messianic Synagogue
Attn: Tape Ministry
6304 Beltline Road
Dallas, TX 75254