ORDER BLANK 
For High Grade Tested Seeds 

Do Not Use Space Above or 
WRITE YOUR ADDRESS PLAINLY AND IN FULL in Erare ees 
the blanks below, and use another sheet for other matters you ; i 
wish to write about. This enables us to FILL ORDERS O. K’d by.......-....--- 



RAPIDLY and correctly, and your inquiries will not be so Shipped via...... ee reet 
apt to be overlooked. For full instructions about ordering, etc., Datevjrec’d a. .aa ee 
: af : see directions page 120 of catalog, Date sent....-.+....-- ee 
D. V. BURRELL SEED GROWERS CO., Rocky Ford, Colo. pig: fh a olor Maia rs : 
Gentlemen: In accordance with terms of your Descriptive Catalog, penser cag 3 a 
Check how goods Please forward to: Packed by ..........--.-. 
are tob t: Number packages....... an 
uote Date -18-—_— Postage (. cFbue cee 
Parcel Nam 
Post (First Name) (Middle Initial) (Last Name) 
Postoffice 
Express [ ] Rural Box 
Routes= 2 Nore a oe tate 

Please give both your Route Number and Box Number if on a Rural Route 
Freight [=] Street 





Address 
_ VY | QUANTITY NAME VARIETY ___ PRICE Ve 
eh ee ere Ne ‘ Dollars 












| oe Do| |Nor | write] |tN|_ |rHis sekelek 




a EEE I DUN ALTE 
Amount carried forward other side: 



EXTRA SEEDS FOR THE NAMES OF THOSE WHO GROW GARDENS. SEE OTHER SIDE 
NOTICE: Special Prices to Market Growers are F.O.B. Rocky Ford, Colorado. 
