Order Form

I accept payments in U.S. funds only. Please print and fill out the form below and enclose it with your check or money order payable to Philip Spiegel and send to:

Philip Spiegel
2315 Eastridge Ave., Unit 716
Menlo Park, CA 94025

Ship to:

Name ______________________________________

Address____________________________________

Address (Line 2)___________________________

City_____________________________________

State or Province_________________________________________

ZIP________________

Email address (so I can confirm your order)___________________________________________

TRIUMPH OVER TYRANNY (paperback)

Number of books ordered:
……… @ $19.95 (+ $1.85 in CA) = $………………..

REFUSENIK DVD

Number of DVDs ordered:
...........@ $29.95 (+ $2.77 in CA) =$ ........................

COMBO of REFUSENIK DVD + TRIUMPH OVER TYRANNY

Number of combos ordered:
..........@ $44.95 (+ $4.16 in CA) = $.......................

WE ARE JEWS AGAIN (paperback)

Volume 1: Number of books ordered:
..... @ $24.95 (+ $2.31 in CA) = $……………….
Volume 2: Number of books ordered:
..... @ $24.95 (+ $2.31 in CA) = $……………….
Volume 3: Number of books ordered:
..... @ $24.95 (+ $2.31 in CA) = $……………….
All 3 volumes:
Number of sets ordered:
..... @ $69.95 (+ $6.47 in CA) = $………………

Shipping & Handling: $………………$3.00
Total enclosed: $……………………

OR

Credit Card Number.....................................................Exp. Date............./.............. Security code...................................

Signing instructions for TRIUMPH OVER TYRANNY: