ORDER BLANK 
Hill Iris & Peony Farm 
Lafontaine, Kansas i Ai oR Pe 
Do not write here 
\ Mr. 
Name - Miss 
(Mrs. 
Please Print Your Name 
SSErGO Cr Orr ae eee ee ee ee ES al es ee ee eee 
POStRO LLC Cee a ee as ee eee ee a ie State 2 ee as eee ae oe 
Amount Enclosed $__------------ Lat een aw ae ee ee ee Oe 195____ 
Quantity | Name of Variety | Price 
Total Amount Enclosed 
seer re eee ———EEoEoEoEoEoeeeEeEeEeEeEeEeEeEeEeEeEeEeEEEEEEEEEEe—=— 
Kansas Residents Please Add 2% for Sales Tax 
(Over) 
