ORDER FORM 
LEONARD W. BUTT 
379 CASTLE ST.—GENEVA, NEW YORK, U.S.A. 
DRC en ee AMOUNE Enclosedheeccsssssssssssseesousssesesseseeees = 
(If Cheque, please add exchange) 
IN AIN Cee et ee en ew oe Ug 
(Please Print) 
PME Races Lt peaeae tania | hal OIC eid: daha ie i OE EAL See) SAE: A 
Prov. or 
Poxpress Office se 4s eee ci cars ae States, 1.0... 
Q’'T'Y | SIZE | VARIETY PRICE 
=] 
=| 
> 
- 
If we are out of what you order shall we— (over) 
( ) SUB. VARIETY ( ) SUB. SIZE 
( ) SEND CREDIT SLIP ( ) REFUND 
Before Mailing Your Order, Please Check Addition, Sizes, 
Prices, and Keep a Copy of Your Order. 
