SPRINGBROOK GARDENS 
U.S. ROUTE 20 — MENTOR, OHIO 
tte meee ee eS 
Please Print or Write Carefully 
Terms: See Inside Front Cover 
(] Check 
Amount Enclosed. [] Money Order 
On all parcel post orders, please add 15% of purchase 
price to cover cost of mailing. 
| Quan. VARIETY AMOUNT 
| 
| 
TOTAL 
Sub Total 
| OHIO CUSTOMERS 
PLEASE ADD 3% Sales Tax 
| SALES TAX Postage 
