SB 109 

 .U6 



Copy 1 



CHECK LIST 



OP 



NEW PLANT INTRODUCTIONS 



READY TO BE TESTED BY COOPERATORS 



IN 



1916-17. 



TO BE CHECKED AND RETURNED TO THE OFFICE 

 OF FOREIGN SEED AND PLANT INTRODUCTION, 

 DEPARTMENT OF AGRICULTURE, WASHINGTON, D. C. 



Please fill in all blanks in the form below, check plants desired in 

 the list following, keep a record of the plants checked in the check 

 list in your catalogue, and return the checked list promptly. 



PERMANENT ADDRESS FOR LETTERS: 



NAME OF EXPERIMENTER: - - 



NO. AND STREET:-— — - 



CITY: R. F. D. NO. 



COUNTY: STATE: 



ALL PLANTS ARE SENT OUT BY PARCEL POST, NOT BY EXPRESS. DO YOU 



WISH PLANT MATERIAL SENT TO ABOVE ADDRESS? IF NOT, FILL OUT THE FOLLOWING: 



PERMANENT MAIL ADDRESS FOR PLANT MATERIAL: 



NAME OF PERSON WHO WILL RECEIVE PLANTS: 



NO. AND STREET: 



CITY: R. F. D. NO 



i!ll[|5M COUNTY: STATE: 



PLEASE DO NOT WRITE HERE. 



