Extension 
Leave 
Blank 
Quantity 
Catalog 
Number 
Name of Seeds, Etc., Wanted 
Price 
Rate 
of Cost 
$ Cts. 
Amount Brought Forward 
Extra order forms mailed on request. Total 
South Dakota customers, please add 3c for each dollar's worth ordered for South Dakota Sales Tax. 
Be sure to give your name and address and keep a copy of your order. 
We will consider it a special favor if you write below the names of your friends who you think would 
like our catalog. 
NAMES 
POST OFFICE 
STATE 
