Name 
ORDER BLANK 
THE VAN GARDENS 
Kingston, New Jersey 
194__— 
(PLEASE WRITE PLAINLY) 
Street or R. D. 
City and State 
Ship how 

QUANTITY | 
| 
ee 
ooo 
Or | 
When 
VARIETY 

REMITTANCE 
MONEY ORDER §$ 
CHECK $ 
CASH $ 
STAMPS $ 
PRICE | 
eeseveeceeee 
esestcececeeece 
estewroeeece 
eevee sceoerce 

AMOUNT 

a ——} Ca as arte aay a =z as ay a5 =a —— 
ae 
~_ 
Fre = in — ee _- 
