ORDER SHEET 
QafU Btafiken, Qa^uHea^. 
JesiBnmgs Lodge, Oregon 
Please Send ±o Dale_193_ 
(Mark Prefix Mr., Mrs. or Miss) 
Name_ 
R. F. D. or Slreel No._ 
Cily-Stale_ 
Amount Enclosed $ 
Quantity 
VARIETY 
Price 
Amount 
Please add 10% for postage 
We do not substitute 
(Continue order on other side) 
