ORDER BLANK 
FLORAVISTA, A. N. KANOUSE 
ROUTE 3, OLYMPIA, WASHINGTON 
Date. 
Ship to. 
Street or R.F.D 
City.State. 
Date wanted. Amount enclosed 
SUBSTITUTIONS will not be made unless you request. If supply of a variety you have 
ordered is exhausted, may we send you another, of equal or greater value? Please answer 
yes or no 
Quantity 
ARTICLE WANTED 
PRICE 
- 
Total 
(CONTINUE ORDER ON OTHER SIDE) 
