Portland Camellia Nursery 
3307 N. Williams Avenue Phone TUxedo 2883 Portland 12, Oregon 
(Mailing Address) (Please Print Name) (Shipping Address, if 
different from mailing address) 
Name Name 
Stone Hal): Stor) Ete es 
City & State City & State 
Ship Via [] Express [.] Parcel Post 
When to Ship: 
QUAN. DESCRIPTION SIZE EACH AMOUNTS 
a 
May We Send an Equally Good Variety if We 
Are Sold Out of the Kind Ordered? 
Amt. Remitted $ 
