PJ Library Subscriptions for School - Jewish Learning Venture

Name of School*
Address*
Street Address Address Line 2 City State ZIP Code
Name of Person Completing This Form*
First Last
Email Address*
Phone Number*
Select the number of subscriptions per age group:

Payment by credit card via PayPal will follow submission of order.
Birth to 1 Year Quantity
Price: $40.00
1 to 2 Years Quantity
Price: $40.00
2 to 3 Years Quantity
Price: $40.00
3 to 4 Years Quantity
Price: $40.00
4 to 5 Years Quantity
Price: $40.00
5 to 6 Years Quantity
Price: $40.00
6 to 7 Years Quantity
Price: $40.00
7 to 8 Years Quantity
Price: $40.00
8+ Years Quantity
Price: $40.00
Total
$0.00
How would you like to pay for your subscription?*
- Credit Card
- Check (Send me an invoice)
- I'm not sure (Contact me)
Credit Card
Card Details
Cardholder Name