R1234567890 
USE THIS HANDY ORDER FORM 
My Name is (Mr.) (Mrs.) (Miss) 
All members of same household should order under one name. Please PRINT. 
My Address is 
City. State 
Fill in below—Only if to be shipped to someone else: 
Please PRINT 
State 
Total 
Price 
Catalog No./ Quantity oles ye Price Each 
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! 
ee express in U.S.A. on all items ‘in. this okiet. 
eee in return for your courtesy in enclosin 
tance with your order! ss” 
Home and Garden Gifts 
BRECKS 
OF BOSTON 
RELIABLE SINCE 1818 
100 BRECK BLDG., 
BOSTON 10, MASS. 
Brief Description 
BRECK’S PAYS POSTAGE 
