Order Blank 
CHAMPLAIN VIEW GARDENS 
ELMER E. GOVE 
BURLINGTON, VERMONT 
Name (Mr., Miss or Mrs.)._ Date 
Please write plainly 
Street and No., P. O. Box 
or R. F. D. 
Post Office ----- County __ 
Express Office_State _ 
If different from P. O. 
Ship when_ _ 
Anything pertaining to this order , please write on back of Order Blank 
or separate sheet of paper. 
We usually give extras with each order, varying with the size of the order; we want to send what you prefer so check which you desire. 
AMOUNT ENCLOSED 
Money Order 
$. 
Check 
$. 
Cash 
$. 
Stamps 
$.. 
.Extra count of varieties ordered. _Varieties of our choice. 
Varieties you may like to try; mention several from which we may select. 
Quantity 
VARIETY 
Size 
Rate 
Amount 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
• 
--——f-- 
16 
17 
18 
y 
Balance Forward 
In making out order please give price from latest price list. Continue order on other side. 
