ORDER BLANK 
For High Grade Tested Seeds t 
Do Not Use Space Above or 





WRITE YOUR ADDRESS PLAINLY AND IN FULL in Space Below 
the blanks below, and use another sheet for other matters you i 
wish to write about. This enables us to FILL ORDERS oO Kid bY ee on BY 
RAPIDLY and correctly, and your inquiries will not be so Shinged eee 
apt to be overlooked. For full instructions about ordering, etc., sch atl Fi kath os 
see directions page 120 of catalog. Date! rec d | iim: + eamena ee ? 
ce dl fad. Date sent ......:seeeeeeeeeees 
Filled” by 7 i. suiss's > co stsneresc A 
D. V. BURRELL SEED GROWERS CO., Rocky Ford, Colo. OE 
Gentlemen: In accordance with terms of your Descriptive Catalog, 7 rt ae oY oe ae 
Packed by ivi irecesiccaclee'e see : 
please forward to: 
Check how goods Number packages ........-- aie 
Date 19 Postage .......cecececececsces 


are to be sent: 
Name —___ 
Dee [| (First Name (Middle Initial) (Last Name) 
tia Express or 




Postoffice Freight Office 
Ex | (If different from postoffice) 
Pres® Rural Box 
Route #2) = NOs orate 
Please give both your Route Number and Box Number if on a Rural Route 

Freight neared 




Address 
V QUANTITY NAME VARIETY PRICE 
_ Dollars») Cents) 


N 
eee = a 
M 
| 
| 
COILU 
eee 
SN ee eee eee e——————————eEeEe————————E—eEeEeEee—e—eEeeeEe———eEeE————EE—EEE———EE—— Es 
J 
Oi 
NO|T | WIRI|TE 
DO 



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. 
