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PITTSVILLE. MARYLAND 21850 

 PHONE 301-835-2101 



FALL 1974 

 SPRING 1975 



Name: 



Street § Number: 



J Phone No. 



Date: 



City: 



Zip_ 



Tell us how to ship: ( ) parcel post ( ) UPS ( ) Trailways ( ) Greyhound 



( ) motor freight ( ) Best way ( ) We plan to pickup order 



on the following date 



Tell us when to ship: 





Quantity 



Varieties 



Sizes 



Unit 

 Price 



Total 









































































Continue on back if additional 

 space is required 



May we substitute a smaller size if required 

 to expedite your order? 



( ) yes ( ) no s 



Total from reverse 



Total for plants 



B 5 B Charges 



10% for packing 5 

 shipping 



Sales tax 4% where 

 applicable 



Total 



Amount enclosed 

 (See page 1) 



