
Cut on this line 
4 
a 
"= 
| 
: 
Only Disease Free STATE-INSPECTED roots sold 
ORDER BLANK 
Geiser’s Fair Chance Farm 
Beloit, Kansas 
Amt. Enclosed $_.___.____ Datee ee 1922. 
SHIP TO 
EXPRESS OFFICE | 
(for Peony shipments) , 
ee ee ee we es es ees ee 
Have you included 2nd choice items or may we 
substitute? All orders $2.00 & over (except Peonies) 
are POSTPAID. No Peony order less than $2.00 
accepted. Please read Terms inside back cover. 
whipping date preference ___....-_~-.__=.____-_ 


No. 

Variety 
Price| Amount 











Use other side for 
Additional Items Carry Fw’d $ 
Kansas Customers Must Add 2% Sales Tax 
