Address Mail To: 



F.W. Bolgiano & Co. 

 41 1 New York Avenue, N.E. Washington, D.C. 20002 



Phone: 547-48 1 2 (Area Code 202) 



Date. 



„ (Slate whether wanted by 



r Orward b V Mail, Express or Freight). 



(please prefix 

 Name Mr.. Mrs. or Miss). 

 Street. P.O. Box or 

 -Rural Delivery 



Post Office 



,, ^... (Ifdifferent 



Kxpress Office from p o )_ 

 C ountv 



State 



My credit card account number is. 



Zip. 



Central Charge D 

 BankAmericard Q 

 Master Charge j—i 



Amount Enclosed 



alcuhellKT P. U. Order 

 \prcss Monc\ Ordor Dr, 



$ 



Please do not write 

 in above space 



Terms: Net cash with or- 

 der. Charge Accounts 

 opened to persons with ap- 

 proved credit. 



ui llic cMcni ol ihe purchase price th, ui ihe lime ol deln 

 ilhin reciii;ni/ed tolerances. W e give n. Hier or lurlher uar 



Seeds or Bulbs sold . 

 y. express or implied. 







1 



Name or Variety 



Price 









Please include sales tax & delivery charge 

































































































































































































Sub-Total 













(Md, & Va, 4%; D.C. 5%) Sales Tax 







(Be sure to include postage or delivery charge) Total Amount Enclosed 







SALES TAX MUST BE INCLUDED 



