DATE- 



.19- 



SHIP TO 



STREET OR R.F.D._ 

 CITY 



-STATE- 



.ZIP NO. 



AMOUNT ENCLOSED. 



PLEASE INCLUDE $1.00 FOR 



,,„,n I.' r.rr^-..^ 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 







GRAND TOTAL 







INCLUDE ZIP CODE NUMBER -IT WILL HASTEN DELIVERY 

 POST OFFICE INSISTS ZIP NUMBER BE USED ON ALL MAIL 



