Date. 



19. 



SHIP TO. 



STREET OR R.F.D^ 

 CITY 



-STATt. 



-ZIP NO. 



AMOUNT ENCLOSED- 



PLEASE INCLUDE $1.00 FOR 

 HANDLING AND PACKING 



DATE WANTED- 



MINIMUM ORDER $5.00 



QUANTITY 



NAME OF VARIETY 



price" 



QUANTITY 



NAME OF VARIETY 



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 we send you 

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



YES □ NO □ 



Total From First Column 







Packing and Handling 



$1. 



00 



GRAND TOTAL 







INCLUDE ZIP CODE NUMBER -IT WILL HASTEN DELIVERY 

 POST OFFICE INSISTS ZIP NUMBER BE USED ON ALL MAIL 



