Order Form

Please print this order form and mail to me at:

Natalie Kaltenbach

3337 Sandhill Road

Bellevue, Ohio 44811

or Call me at:

(419) 483-5164

If you prefer, you may email me with your order or questions.

Payment is required before shipment.

Thank you

Name _________________________________________________

Street Address _________________________________________

_________________________________________

City and State _________________________________________

Zipcode _______________________________________________

Quantity ______________________________________________

Name of Gourd ordered __________________________________

Color of Gourd _________________________________________

Total Cost of Order _____________________________________

Shipping _________________$ 5.00________________________

Total Amount Enclosed __________________________________

Thank you for your order.