Tr a a er Re RR mm ee ee 
ORDER BLANK 
For High Grade Tested Seeds 


Do Not Use Space Above or 
Spa 
Bel 
WRITE YOUR ADDRESS PLAINLY AND IN FULL in vr [es 
the blanks below, and use another sheet for other matters you O. K’d b ; 
wish to write about. This enables us to FILL ORDERS sie p it MT 
RAPIDLY and correctly, and your inquiries will not be so Shipped via........-.-.-- 
ee AN apt to be overlooked. For full instructions about ordering, etc., Date rec’di.. cule sie ne ot 
‘ FEDGM ~ see directions page 120 of catalog. Datescnt eee eee 
Filled by cirevetsys states aha eyory 
D. V. BURRELL SEED GROWERS CO., Rocky Ford, Colo. ax pests eee, 
& Gentlemen: In accordance with terms of your Descriptive Catalog, Pek ae 
Check how goods please forward to: acked by act. sown ce 
Number packages.........- 
are to be sent: 



Date 19 Postage) Sco: Sacer 
Parcel Name 
Post (First Name) (Middle Initial) (Last Name) 
Postoffice 
Express [| Rural Box 
P Route No. State 
[) 
Please give both your Route Number and Box Number if on a Rural Route 
Freight [| 
VY QUANTITY NAME VARIETY 
eo SC OO | | | 
Street 
A 



|—$—$— J f 
i 
N 
N 
LU|M 
2 M 
JL El sone ee ee EEE —EEE 
CO 
CO 
6 tS ee ee a ER ee 8 ee ES Sy |) ea a ay Pa 

Ceo eee ee... SSS sss  ——————— EE EEE EE 
—_ 

el a ml eae 







vigike DO S WIRI|TE) IN| | B 

Peer rk 




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. 
