DATE- 



.19- 



SHIP TO 



STREET OR R.F.D. 



cirr 



-STATE. 



-ZIP NO. 



AMOUNT ENCLOSED- 



PLEASE INCLUDE 35c FOR 

 HANDLING AND PACKING 



DATE WANTEDl- 



MINIMUM ORDER $5.00 



QUANTITY 



NAME OF VARICTY 



PRICE 



QUANTITY 



NAME OF VARIETfY 



PRICE 



































































































































































































































































































(CONTINUE ORDER IN OTHER COLUMN) 



TOTAL 









TOTAL 







SUBSTITUTIONS will not be made unless you request. If supply 

 of a variety you have ordered is exhausted, may v/e send you 

 another, of equal or greater value? Please answer . . . 

 YES □ NO □ 



Total From First Column 







Packing and Handling 





35 



GRAND TOTAL 







(A 



^1 



INCLUDE ZIP CODE NUMBER -IT WILL HASTEN DELIVERY 

 POST OFFICE INSISTS ZIP NUMBER BE USED ON ALL MAIL 



I 



