Violet Maynard and Family
Product Order Form
Please print this form, complete and send with your check/money order.
Name: ____________________________________________________________
Shipping Address: __________________________________________________
City: ______________________
State: ___________ Zip: ____________
Daytime Phone: (___) __________ Evening Phone: (___) ____________
Product Price Quantity Total
Please add shipping/handling: $3.00
Make check/money order payable to: Violet Maynard
After completion, please send order form and payment to:
Violet Maynard and Family
Attn: Product Order
1290 Maetzel Drive
Columbus, OH 43227
(Note: You will not be contacted unless information is needed.)
Email Address: ____________________________________________________
