PRICE 
QUANTITY VARIETY NAME OR NUMBER i Doliarcsumecente 
Amount Brought Forward 
Tax 
Se Se eisai ee -esstieneSveeemcnsensisssenigee- ese ot | 
TOTAL 
We shall esteem it a favor if you will give us below the NAMES and ADDRESSES 
of any of your friends who would likely be interested in receiving one of our catalogs 
a 1 
Na ee es 
REMITTANCES should be made by Post Office Money Order, Express Money Order, Bank Draft 
on Chicago or New York, or by Personal Check. When mailing currency or coins seal and regis- 
ter the letter. Wrap coins securely in strong paper to prevent slipping and enclose in this blank. _ 
