Order Form

Please fill out the order form below, print and mail with your check or money order to:
Mary Anne Yoder
2706 Durstine Road
Dundee, OH  44624

Name: 

Address: 

City:    State:    Zip: 

Daytime Phone:    Evening Phone: 

Email Address: 

Item #

Description

Quantity
Desired

Price
100 Log Cabin Star Quilt 850.00
101 Earthtone Mariner's Star Quilt 850.00
102 Mariner's Star Blue & Gold 850.00
103 Mariner's Star Blue & Yellow 850.00
104 Radiant Star 850.00
201 Ohio Amish Buggy 12.95
202 Pennsylvania Amish Buggy 12.95
Total Items to Purchase

Amount Enclosed