Order Blank CHAMPLAIN VIE. W GARDENS 
ELMER E. GOVE 
BURLINGTON, VERMONT 
Name (Mr., Miss or Mrs.) 
Street and No., P. O. Box 
or R. F. D. 

ater 5 2 ye oe en 
Please write plainly 
AMOUNT ENCLOSED 
Pst EEC eae a aren ac el tate GOUNLY, 
Money Order § 
TUXPTGSS 0 ieee ee ee eee ee es State 2 Checkaca  UA$ 
If different from P. O. 
Ship when! se eee ems a See oe 
Anything pertaining to this order, please write on back of Order Blank or separate Stamps - 
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. 
Extra count of varieties ordered. Varieties of our choice. 


Varieties you would like to try; mention several from which we may select. 

Amount 
Quantity VARIETY Size 
RS | = 

Oo} oO; ss) Dl] omy] ®] W 
1 
oO 
1 
pond 

Kis BE 
mee 
me 
ee 
{= 
van 
Balance Forward || 
In making out order please give price from latest price list. Continue order on other side. 
