HARRISON BROTHERS, PROPS, 



ORDER 

 BLANK 



Please Write 

 linly 



Date 



Gentlemen: Please accept my order and ship as nearly as possible as in- 

 dicated. Subject to all terms, conditions, money-back, non-warranty and 

 guarantee as printed in your catalog from which I am ordering. 



My Name 



Street 



Rural 

 Route No. 



Box 

 No. 



Post Office 



County 



Use postal or express money 

 order, bank draft or person- 



CASH SENT IN PAYMENT 

 MUST GO AT YOUR OWN 

 RISK. 



Total Amount 



Enclosed $ 



Nearest Town For 

 Express or Freight 

 If different From 

 Postofnce 



State 



County 



State 



Read Other Side For Shipping Information 



SSiipping Date 



If undecided let us use our judgment 



About 



(We will ship as near this date es 

 possible). 



Customer to pay all trans- 

 portation charges on arrival. 

 If shipment is desired by par- 



How Shall We Ship? Parcel n Express rn Freight n 

 v^ Check Way Wanted Post L_J ^ ^ 



Best 1 eel 



Way •— ' See 



post include 10% extra, 

 other side of order blank. 



« 



Quantity 



Kind and Variety Wanted 



Size 



Price 



Total 





































1 













































































1 









1 



1 



1 









1 

















































1 



1 





May we substitute an equally good variety if any of kinds orderedare exhausted? Answer: No Yes 



WE CANNOT ACCEPT ORDERS FOR LESS THAN $2.00. Additional order space on other side. 



