ORDER BLANK 
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BEAR Ke oimeeE Tt, “<< 4HAMBLIRGE NEY, 
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SOW  orieae 
WHEN WANTED? a 

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YOUR COMPLETE ADDRESS: WRITE OR PRINT PLAINLY, your name, Mr., Miss or Mrs., 
give street or r.f.d. No. or P. O. Box No. and state if order is for Exp. shipment. Give name 
of Exp. Office, if different. 


QUANTITY SUlZE : NAME AMOUNT 
ar. = 





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