
ORDER BLANK 




























































For High Grade Tested Seeds | 
M 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 ) 
wish to write about. This enables us to FILL ORDERS OK'd by ho eee ee 
RAPIDLY and correctly, and your inquiries will not be so RE AR ye od 
apt to be overlooked. For full instructions about ordering, etc., tees been ater oh baa 7” 
x see directions page 120 of catalog. Date rec'd ......seeeeeeeeeees 
se | Date sent... :.cccevecseveces 
D. V. BURRELL SEED GROWERS CO., Rocky Ford, Colo. cae Bs fads Coe 
In accordance with terms of your Descriptive Catalog, please forward to: Packed by onaees ace tenes 
Check how goods Number packages .........++- 
are to be sent: Date 19 Postage ist agetomncereenee 
N 
cet [a] ome (First Name (Middle Initial) (Last Name) 
os Express or 
Postoffice Freight Office 
(If different from postoffice) 
Express [a] Rural Box 
Routes Nowe hae State 
4 Please give both your Route Number and Box Number if on a Rural Route 
Freight Stent 
Address 
VW QUANTITY NAME VARIETY PRICE yy 
ee | eee ee ee Dollars | Cents 
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fell: AY 
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. 
