ZANDBERGEN BROS., Inc. 
TULIPDOM Oyster Bay, N. Y. 
Name Date 
(PLEASE WRITE OR PRINT VERY PLAINLY) 
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(STATE WHETHER BY MAIL, EXPRESS OR FREIGHT) 
Post Office State 
(NAME OF STATE IN FULL) 
express Once = es 2 ee CP. Os Order: Hnelosedis 
(ONLY IF DIFFERENT FROM P. O. ADDRESS ) 
SuptsOinG arene re a ee Check-lnclosed:iort 
(THAT WE MAY ENTER HIS NAME FOR CATALOG ) 
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