I 



X 



X 

 m 



SILVERTON -OREGON 



Date. 



.19- 



SHIP TO_ 



STREET OR R.F.D^ 

 CITY 



-STATE. 



.ZIP NO. 



AMOUNT ENCLOSED- 



PLEASE INCLUDE $1.00 FOR 



HAMD! 1NG AND PACKING WANTED- 



MINIMUM ORDER $5.00 



QUANTITY 



NAME OF VARIETY 



PRICE 



QUANTITY 



NAME OF VARIEXY 



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 



