ORDER 
FORM 
Poole’s Seed & 
1142 Pacific Avenue 
Implement Co. 
1141 Commerce Street 
TACOMA, WASHINGTON 
Name --- 
Street .... 
(Mr.. Mrs. or Miss ; write name plainly) 
____ R. D. 
Box 
Amount Enclosed 
Money Order _ 
Cash - 
Post Office ------.— P. O. Box ..—.- 
Express or 
State ..--- Freight Office --- 
Forward goods by Parcel Post . Express . Freight. 
Check how goods are to be sent. 
Date. 
Stamps --- 
T otal. - 
NOTICE — Remittance by 
Postal Money Order is a 
guarantee against loss. We 
prefer them for onr mntual 
protection. Use them if con¬ 
venient. 
Do Not Write in 
This Space 
WE GIVE NO WARRANTY, EXPRESS OR IMPLIED, AS TO DESCRIPTION. QUALITY, PRODUCTIVENESS OR ANY OTHER MATTER OF ANY SEEDS, 
BULBS, PLANTS OR TREES WE SEND OUT, AND WILL NOT BE IN ANY WAY RESPONSIBLE FOR THE CROP. 
Lb. 
Oz. 
Pkt. 
NAME OF ARTICLE WANTED 
Price 
■ 
- 
. 
— 
Total 
WASHINGTON CUSTOMERS: PLEASE ADD 2% TO YOUR ORDER TO COVER STATE SALES TAX 
