SILVERTON •OREGON 



I 



Date- 



.t9_ 



SHIP TO. 



STREET OR R.FJ>^ 

 CITY 



-STATE. 



.ZIP NO. 



AMOUNT ENCLOSaX- 



PLEASe INOUDB 500 FOR 

 HANDUNO AND PACKING 



DATE WANTED- 



MINIMUM ORDER $5.00 



QUANTITY 



NAME OF VARIETV 



PRICE 



QUANTITY 



NAME OF VARIETY 



price 





































































































































































































































































































(CONTINUB ORDER IN OTHER COLUMN) 



TOTAL 









TOTAL 







SUBSTITUTIONS will not be mode 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 n 



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 



