Date. 



-19- 



SHIP TO 



STREET OR R.F.D, 

 CITY 



-STATE- 



.ZIP NO.. 



AMOUNT ENCLOSED. 



PLEASE INCLUDE 50?! 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 v/e send you 

 another, of equal or greater value? Please ansv/er . . . 



YES □ NO □ 



Total From First Column 







Packing and Handling 





"0 



GRAND TOTAL 







■n 



O 

 r 



D 



cn 

 m 

 > 

 r 



> 

 F 



INCLUDE ZIP CODE NUMBER -IT WILL HASTEN DELIVERY 

 POST OFFICE INSISTS ZIP NUMBER BE USED ON ALL MAIL 



