Order Form fre HOLLANDIA 378 wuxiey Drive snyder 21, New York 
CONNECTIE€UT. Please 
add 3% Sales Tax if de- 
livery is to be made within 
the state of Connecticut. 
Name 

P. O. Box, Street 
or Rural Delivery. 

DOS Oa ere a pies gt as to, Oe LOMO ING ci a Shake 
If your district has been given a zone number by the Post Office, please insert it here 


Station or Express Office__t_._....__________ Superintendent or Gardener 
Only if different from Post Office That we may enter for Catalogs 
QUANTITY ARTICLES WANTED PRICE 
a) Re ea AUR es es OU ES ete re San eee OP RRNA LR lee ea OSD atelier 
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BD th MAKING YOUR ORDER, PLEASE GIVE THE SIZES AND PRICES TO AVOID DELAY AND ERRORS. CARRIED FORWARD $ 
[If we cannot supply variety ordered, we will send one equal or better, unless forbidden. 

