Rav-Milim Private Users Subscription Form

For customers outside of Israel

Ordering a yearly subscription for Rav-Milim:
Please print the form and fax it to us.
Your password will be sent to you by email.
The password is personal and cannot be transfered.
Please note that registration is for one year (i.e. twelve months),
and no automatic renewal or charge will be registered to your credit card.
You will receive an email notification of the impending subscription
expiration two weeks before the expiry date.
The price for a yearly subscription is $120.00 US.

Fax to: +972-3-6070401

First Name ____________________
Last Name ____________________
Company / Organization ____________________
Phone ____________________
Additional Phone ____________________
Email ____________________
Address to Send Invoice to:
City ____________________
Street ____________________
House Number ____________________
Postal Code ____________________
P.O. Box ____________________
Country ____________________
Card Holder Details:
Full Name ____________________
Expiry Date ____________________
Credit Card Number ____________________
CVV no. ____________________(3 digits on the back of the card)
Credit Card Type American Express \ Diners \ Visa \ Mastercard
Other _________________
Notes ____________________