ORDER BLANK 



COOLERS GARDENS, SlLVERTON, OREGON 



Date 



Ship to 



Street or R.F.D 



City State 



Date wanted Amount enclosed 



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 or no 



i ntity 



ARTICLE WANTED 



PRICE 















































































































































Total 



(CONTINUE ORDER ON OTHER SIDE) 







3S&D 5-35 12MM 



V 



