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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