Date_ 
Ship to 
Street 
Post Office__ ON i Ah en Ry TT 
if different 
Express office fromp.o. 
Date shipment preferred 
Do you want plants shipped: 
[] In pots 
[-] Out of pots (fiber carton) 
Ship by (check one}: 
[] Railway express 
[_] Air express 
Can we make substitutions if necessary in: al Parcel paee 
[] Same color, different cross? 
[] Same cross, different size? 
L] Air parcel post 
[ ] Other 
UNIT TOTAL 
Quantity | Quer” | SIZE abl: PRICE PRICE 
TOTAL AMOUNT 
USE ENVELOPE FOR CHECK AND INSTRUCTIONS. 
