Neelwafurat.com - Order Form

Please fill the order form and fax it to the number 009611786230 or you can alternatively send it to the following address: Arab Scientific Publishers, Reem Bldg-Ain el-Tinah, P.O.Box 13-5574, Beirut-Lebanon.

1. Shipping information:
Full Name:
e-mail address:

Shipping Address:

Telephone Number(s) with country code and area code:
Phone#:
Mobile#:
Fax#:


2. Payment method:
Choose one: Certified Cheque
Visa Card        Master Card        American Express

If paying by credit card, please indicate the following:
Credit Card Number: --- (up to 16 digits)
Expiry date: Month Year
Full Name of Card Holder:

Mailing address as known to your credit card company):

Signature of Card Holder:


3. Shipping method:
Choose one: Registered Mail        Fast Mail       


4. Please list the title(s) in Arabic (use extra sheets if necessary):