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7
Date,__________
196_
[Sears J
SEARS, ROEBUCK AND CO.
Chicago, Illinois 60607
----------SATISFACTION GUARANTEED OR YOUR MONEY BACK----------
PLEASE DO NOT WRITE IN THIS SPACE
•
PLEASE PRINT OR WRITE PLAINLY
All
members of tl1e
same
household 1hould order under
one name
NAME~--:==::7.7'.=-~~~==-::-:7'.=-:c~~~--::-:-c~~~~-
<FmsT NAME)
(MIDDLE INITIAL)
(LAST NAME)
Rural Route._______Rural Box No.______P.O. Box No.______
Street Address_ _________________________
Post Office _____________State__________""""'z1'°'"p""'c""oo=1
SHIP TO ANOTHER ADDRESS? If you want this order shipped to another per•
son or to a different address, freight or express station, give directions here:
l£
YOUR ADDRESS HAS CHANGED since last order, please give your old
address here:
Rural
Box
Street
Route___No.___Address.___________________
Post Office_____________State_____________
ZIP
cooa
STATE COLOR OR PATTERN CHOICE BY NUMBER IF REQUEsT:Eo
CATALOG NUMBER
HOW
NAME OF ITEM
COLOR
MANY
Pattern, Finish, Etc.
•
••
•
ILLINOIS customers add 4c tax for each dollar of goods (31hc state,
'he
city).
INDIANA or IOWA customers add 2c tax for each dollar of goods.
KENTUCKY, MISSOURI or OHIO customers add 3c tax for each dollar of goods.
MICHIGAN customers add 4c tax for each dollar of goods.
WISCONSIN customers add 3c tax for each dollar of goods unless tax is not applicable.
(Examples of non-taxable items: articles used
exclusive~
in agriculture; most lines
of clothing, paint, etc.) Any tax sent in error will be refun ed.
HOW SHALL WE SHIP?
Parcel Post
D
Express
D
F THIS IS AN EASY PAYMENT ORDER, CHECK HERE
F A REVOLVING CHARGE ACCOUNT, CHECK HERE
I
M
N
Y ACCOUNT
UMBER IS_
Freight (Rail or Truck)
O
D
and fill-in and sign
the form on other side.
D
Do not send identification
card or plate.
At which
Sears Store?
Recheck
lo
"ee
that you have given all information Juch aJ size,
co/or,
pattern, finish,
etc.
SIZE
PRICE
TOTAL PRICE SHPG. WT.
Measure to be sure Ea., Yd., Pr., Etc.
Dollars
Cents
Lbs.
Oz.
--
--
--
--
---
--
--
---
--
--
---
-
--
--
- -
--
- -
---
--
--
----
----
--- --
- ---
--
- -
--
----
--
I
TOTAL FOR GOODS
Total
I
Total
Pounds Ounces
~
AMOUNT FOR TAX
--
To tal weirt
If
credit order,
in Poun s
we will figure and
POSTAGE
fill this in for you
Amount I owe Sears
Enter Parcel
on previous order
Post Zone No.
TOTAL CASH PRICE
See other side
Sears
for shipping
information
Checks
c
AMOUNT
ENCLOSED
Money Order
or Check
PAGE
355