WALLER BROTHERS 
ORDER BLANK 
DATE 
JUDSONIA, OF ORDER 
NAME ARKANSAS SHIP WHEN 
ADDRESS LONG DIST. PHONE 58 | CASH | 
RECEIVED 
POST OFFICE EXPRESS MAIL FREIGHT 
CrOrD 
STATE OE eee ener nec [pts “| «] LJ L] | | 
CHARGE 
EXPRESS OFFIC ORDER NO. 
(IF DIFFERENT THAN POST OFFICE) TOTAL 
ay ayes NAME OF PLANTS REMARKS =- 
ATTENTION: ARKANSAS CUSTOMERS, PLEASE ADD 2 PER CENT SALES TAX TO YOUR ORDERS. 
PLEASE ADD THE NAMES OF A FEW FRIENDS WHO MIGHT BE INTERESTED IN OUR CATALOG. 
25% OF TOTAL AMOUNT MUST ACCOMPANY ALL C. O. D. ORDERS 
NAM be ee ee ADDRESS 
NAM Ee ee ee AL DRESS 
