Kindly write your Special Instructions on a Separate Sheet 
ORDER SHEET 
Issued by 
Success Dahlia Gardens 
171 FERRY STREET, LAWRENCE, MASS. 
Date. Amount Enclosed. 
Your Name. 
[Write it plainly. Ladies will please use the prefix Miss or Mrs.] 
City. Street. 
State. County. 
Shall we substitute for any that are sold out?.. 
About what date do you want them shipped ?;. 
HOW 
MANY 
BULBS 
HOW 
MANY 
PLANTS 
NAME OF DAHLIA 
PRICE 
USE OTHER SIDE IF NECESSARY 
