ORDER BLANK 
THE SIGN OF THE IRIS 
17231 Sherman Way Van Nuys, California 
DAT SS ee ee 
SHIP TO —— 
Corp gd) sl er fey |<) a pe eee en ee 
CITY. ae Ne a 
AMOUNT ENCLOSED $_W_ 
POSTAGE PREPAID ON ORDERS OVER $7.50. ORDERS OF LESS THAN $7.50 ADD 60c TO 
COVER POSTAGE, 
QUANTITY NAME OF VARIETY | PRICE 
CALIFORNIA RESIDENTS, WHOSE ORDERS ARE BEING SHIPPED 
TO CALIFORNIA POINTS PLEASE ADD CALIFORNIA SALES TAX 
OF 3%. CITY OF Los ANGELES, PLEASE ADD 4%. 
USE REVERSE SIDE OF THIS ORDER SHEET FOR ADDITIONAL ITEMS 
