Mail this order to:
Aen.
RelfFolrhow to fill this order form, see page 244 or 246.
PLEASE DO NOT WRITE IN THIS AREA
J.C. PENNEY CO., INC. CATALOG DIVISION
(find correct address on page 240)
SPECIAL GIFT ORDER FORM
IS THIS YOUR FIRST ORDER
FROM ANY PENNEYS CATALOG?
PLEASE WRITE YOUR
PENNEYS CUSTOMER
NUMBER HERE
0
YES
0
NO
Please Print or Write Clearly" Always Use the Same Name When Orderin1
Address
IDATc.--------19-
FOREIGN
D
S/B
D
T.E.
D
(Street-Rural Route-Box No.)
(City-Post Office-State-Zip Code)
(Phone No.-Show Area Code)
Page
Number
Name of Item
Color
Color Name
Unit Price
No.
or Pattern,
(Pkg.,
Ea.,
Ltr(s),
Finish, Etc.
Yds., Etc.)
Size
How
Unit
Catalo1 Number
Many? (Pkg., Ea.,1-------------
Yds., Etc.) Ltr.
Numbers
Total
Price
1----------1--- ---- --1--------- -- --- ---1------1-----1-----
Cash Orders
Fill in
Mailing
wts.
1------------- ---- --1--------- --------1-----1---- -----1----
1------------- ---- --1--------- ----- ---1------1----1-----1----
1------------- ---- --1--------- ----- ---1-----1----1-----1-----
Total
I
Send
to_·------------------------
Street______________________ Wt. ....._____,
City________________________state---------------------ZiP--------
Amt. for Taxes (see pages 238-9.,_____________Amt. for posta1e (see pages
238-240>---------~mt.
for merch.----------
Total
Amoun,~----------------------For
Overseas pkgs. (see inside back-cover) check how to ship SAM
D
PAL
D
Surface Mail
D
Page
Number
Name of Item
How
Unit
Catalo1 Number
Many? (Pk&., Ea., --,----------:---
Yds., Etc.) Ltr.
Numbers
Ltr(s).
Size
Color
No.
Color Name
or Pattern,
Finish, Etc.
1----------1------- --1--------- ----- ---1-----
Unit Price
(Pkg., Ea.,
Yds., Etc.)
Total
Price
Cash Orders
Fill in
Mailing
wts.
1----------1------- --1--------- ----- ---1----- ----1-----1----
1----------1--- ---- --1---------1-- ---- --- -----1----1-----1----
----------1--- ---- --1--------- ----- ---1------1----1-----1-----
Send
to_·
------------------------Street______________________
T:!~
1
I~
CitY------------------------Stlte---------------------ZiP--------
Amt for Tues (see pages 238-9),_____________,.mt for postage (see pages 238-240)·---------Amt for merch.----------
Total Amount-----------------------For Overseas pkgs. (see inside back-cover) check how to ship SAM
D
PAL
D
Surface Mail
D
Page
Number
Name of Item
Size
How
Unit
Catalog Number
Many? (Pkg., Ea.,1-----------..,...--
Yds., Etc.) Ltr.
Numbers
Ltr(s).
Color
No.
Color Name
or Pattern,
Finish, Etc.
Unit Price
(Pkg., Ea.,
Yds., Etc.)
Total
Price
Cash Orders
Fill in
Mailing
wts.
1----------1------- --1---------1-- ---- ---1-----1----1-----
1------------- ---- --1---------1-- ---- ---1-----1----1------1-----
----------1--- ---- --1---------1-- ---- ---1-----1--- ----- -----
---------- --- --- --1----------1-- ------ -----1----1----- ----
Total
I
Send
to:------------------------
Street----------------------- Wt.
---~
City________________________state·---------------------ZiP--------
Amt. for Tues (see pages
238-9)------------~,mt.
for postage (see pages
238-240)·---------~mt.
for merch. ----------
Total
Amoun~----------------------For
Overseas pkgs. (see inside back-cover) check how
to
ship SAM
D
PAL
D
Surface Mail
D
How do you wish to purchase this order?
D
REGULAR CHARGE ACCOUNT-for details see Plies' 247 and 250. If you have a
Charge Account, or are applying for one, please SIGN this agreement I a1ree
to
pay the credit price for this order in accordance with my Re1ular Charee Account Agreement.
SIGNATUR._______________________
O
CASH ORDER Enclose full remittance for your order-include postage and tax (if any).
Please send check or money order onlyI
Amount Enclosed
(Send Check or
Money Order Only)
L--.-:J-
tenne'JI
245