ORDER SHEET FOR SEEDS 
Please leaTe blank 
Charlotte M. Haines 
SEEDS GROWN BY A WOMAN 
Rockford, Illinois 
Amount Enclosed_Date 
Please send following Order to my address: 
Name_. 
Post Office_ 
County __ 
State 
Box Number j 
Street and Number > 
Rural Delivery Route )-- 
Zone 
Quan¬ 
tity 
NAME OF GOODS WANTED 
Price 
Please order nothing but seeds on this page 
