DAHLIA ORDER SHEET 
SUMMIT GARDENS 
G. L. PIERCE P.O. Box 567, Glen Ellyn, Ill. 
Date 
Mr. 
Mrs. 
Miss (Please print) 
St. or R.F.D. 
Post OF fi Cer ee 1. os State 
AMOUNT ENCLOSED 
Check | M.O. | Cash | Stamps 
Date rec’d. Date shipped | 
lf out of what you ordered shall | 
OU Refund. , LJ Substitute Nearest Variety 
Ce a Ave Se 
Quan. | Variety : Rate J Amount 
it 
| 
Tax on sales to Mllinois Customers 
SaaGHUG 
List alternate choices on other side Total 
