ORDER FORM 
KIESEWETTER’S ORCHID GARDENS 
R. F. D. ROSLYN, NEW YORK 
DATE 
SHIP TO 
(PRINT AND PREFIX MR., MRS., OR MISS) R.F.D. NO. 
SyRrer P.O. BOX 
eS gGi Dea Oy  e  en ZONE 
STATE 
EXPRESS ADDRESS 
(GIVE ONLY IF DIFFERENT FROM P.O.) 
Ol PARCEL Post O AIR MAIL PARCEL Post 
O) EXPRESS COLLECT Oo AIR EXPRESS COLLECT 
O AIR’ MAIL OO AIR FREIGHT 
CATALOG POT UNIT TOTAL 
QUAN. | NuMBER DESCRIPTION rosee| 322 PRICE| DOLLARS (CENTS 
CO SEND ADDITIONAL ORDER BLANKS 
(0 CHECK OR MONEY ORDER ENCLOSED 
SIGNATUR 
