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. 
PostiOttice______ te State 
AMOUNT ENCLOSED 
Check | M.O, | Cash | Stamps 
’ Date rec’d. Date shipped 
lf out of what you ordered shall | 
O Refund. CL) Substitute Nearest Variety 
BONUS ROOT FOR POSTAGE 
We will include in your shipment a free root worth at least $1 
(variety of our choice) if you will agree to remit to us the amount 
of the postage on your package. This will be in addition to the gratis 
root we usually put in each order. Stamps are acceptable. 
Do you agree? [] Yes 
——ooOoOoOoOoOoaoooEooeeeeeeeeeeeQ,_OOOOO0505050uNl’teé06«=$@$@aoO06=»<«ooa—~=saoa=— eS aaa 
Quan. Variety Rate Amount 
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—— SS 
2 a a 
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Tax on sales to Dlinois Customers 2% 
List alternate choices on other side Total | | 
TS 
