Quantity 
ITEMS WANTED 
Price 
Dollars I Cents 
WHEN ORDERING WRITE BELOW 
The names of several of your neighbors or friends who have not 
received our Catalog but who you believe might order from us. 
NAMES 
" 
POST OFFICE 
P.O. Box, Street, or R.F.D. 
STATE 
NOTE: Does this order include everything you need? Extra order blanks and envelopes sent upon application. 
