Portland Camellia Nursery 
3307 N. Williams Avenue Phone TUxedo 2883 Portland 12, Oregon 
(Mailing Address) (Please Print Name) (Shipping Address, if 
different from mailing address) 
Name Name 
Sty Onsnaei Ds Se doye kta iy 
City & State City & State 
Ship Via [] Express [_] Parcel Post 
When to Ship: 
QUAN. DESCRIPTION SIZE EACH AMOUNTS 
paren se i) ee ee Re or et eee ee 
May We Send an Equally Good Variety if We 
Are Sold Out of the Kind Ordered? : 
Amt. Remitted $ 
