WALLER BROTHER 
ORDER BLANK 
DATE 
JUDSONIA, OAT DER 
NAM Bn ARKANSAS 
ADDRESS LONG DIST. PHONE 58 | SHIP WHEN 
RESIDENCE PHONE 78 
POST OFFICE 
EXPRESS MAIL 
L] LJ 
STATE 
EXPRESS OFFICE 
(IF DIFFERENT THAN POST OFFICE) 
uy NAME OF PLANTS REMARKS 
fo} 3) 
aC 
U> 
mz 
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. 
NA MV Eee See eee ee mee ee ADRESS, 
NAM Eeorbenee = rer an ear eee ee eee ee AD ORESS 
