AUTHENTIC AMISH PHOTOGRAPHY
by Richard Brunstetter
MAIL ORDER FORM

Your Name: __________________________________________

Address: _________________________________________

City: ___________________________________________

State: __________________________________________

Zip Code: ________________

E-mail: ________________________________

Phone (area code & number): ________________________________

Name of photo (please indicate size):

___________________________________      _________________________________

___________________________________      _________________________________

___________________________________      _________________________________

___________________________________      _________________________________

Send check or money order for photos plus shipping to:

Richard Brunstetter
P.O. Box 8234
Yakima, WA 98908