ORDER FORM - PRINT THIS PAGE FROM YOUR BROWSER AND MAIL IN  Play Things of Past, Gary B. Schneider 2324 Fawn Haven Drive Medina, Ohio 44256 U.S.A

Name: Ship to: ____________________________ ____________________________ ____________________________ email:________________________ phone:_______________________ Qty Stock No. Description Each Total : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : Thank you for your order..... subtotal : Shipping will be quoted, inquire ----------- Shipping ________ Total ________ Mail payment to above address: Payable to: Play Things of Past Note: Ohio residents 6.5% sales tax ** $20.00 minimum order, plus shipping **

Note: If a stock number has an asterisk next to it then it must be included in the stock number.
----------------------------------------------------------------------------------------------------------
Special Instructions (or use back side, check here:______)