Name __ 
Street Address 
Post Office 
Express Office ____ 
State 
When to Ship Plants 
QUANTITY 
ORDER SHEET 
FAIRVIEW FRUIT FARM 
PIERCETON, INDIANA 
Date ' , 19 
(Please Print) 
RaRo Nowe 
Ship by 
(Mail or Express) 
VARIETY PRICE 
Amount for Postage 
TOTAL 
