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SEARS, ROEBUCK AND CO.
Chicago, Illinois 60607
\Sears
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PLEASE BE SURE TO INCLUDE
ZIP CODE
IN YOUR ADDRESS
----------SATISFACTION GUARANTEED OR YOUR MONEY BACK----------
PLEASE GIVE COMPLETE DELIVERY INFORMATION
Be sure to give complete mailing address at the right, filling in the cor–
rect information on the lines provided. ON FREIGHT ORDERS, IF YOU
DO NOT HAVE A STREET ADDRESS, additional information is needed
for delivery by truck. The name and/ or number of the road or highway,
landmarks such as a church, gas station, fire house or bridge are im–
portant guides. Please give these details on the lines provided.
PLEASE DO NOT WRITE IN SPACE BELOW
•
PLEASE PRINT PLAINLY
All
member1
of
the same
hou1ehold rhould
order under one name
1- NAME~--,-~--,--,~~~~~~~~~~~-
<F1RsT NAME)
(MIDDLE INITIAL)
(LAST NAME )
:Mailing Address_________________________
Post Office_____________ State_____________
ZIP CODE
Telephone Number
SHIP TO ANOTHER ADDRESS?
If
you want th is order shipped to another per–
son or to a different address, freight or express station, give address here:
Mailing Address_________________________
Post Office____________State_____________
ZIP CODE
IF YOUR ADDRESS HAS CHANGED since last order, please give your old
mai Ii ng address here:
Mailing Address_________________________
Post Office____________State_____________
ztP caoe
STATE COLOR OR PATTERN CHOICE BY NUMBER IF REQUESTED
CATALOG NUMBER
HOW
NAME OF ITEM
COLOR
SIZE
PRICE
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TOTAL PRICE SHPG. WT.
MANY
Pattern, Finish, Etc. Measure to be sure Ea., Yd., Pr., Etc.
Oollars
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Cents
Lbs.
Oz.
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1
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ILLINOIS customers add 5c tax for each dollar of goods (4c state,
le
city).
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Total
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Total
INDIANA customers add 2c tax for each dollar of goods.
TOTAL FOR GOODS
Pounds Ounces
IOWA or MISSOURI customers add 3c tax for each dollar of goods.
---- ---
KENTUCKY customers add 5c tax for each dollar of goods.
+- AMOUNT FOR TAX
MICHIGAN, OHIO or WISCONSIN customers add 4c tax for each dollar of goods.
Total Weight
If
your county in OHIO has a tax, include the additional tax required.
---
in Pounds
If
credit order,
Tax rates based on information available at printina: and subject to change.
we will fipure and
POSTAGE
HOW SHALL WE SHIP? Parcel Post
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In Metropolitan areas, merchandise
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PACKAGE
fill this in for you.
Enter Parcel
-------
Post Zone No.
Express D Freight (Rail or Truck)
D
can
be
delivered by last package
DELIVERY
Amount I owe Sears
delivery service at higher cost.
SERVICE
on previous order
Add this to my
-------
See yellow pages
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SEARS REVOLVING CHARGE ACCOUNT,
TOTAL CASH PRICE
lor
s~i;ipmg
0
SEARS EASY PAYMENT PLAN or
information
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MODERNIZING CREDIT PLAN RETAIL INSTALLMENT CONTRACT AND
---
---
SECURITY AGREEMENT, which is incorporated herein by reference.
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At what
Sears
c
Sears store?
AMOUNT
Checks
MY ACCOUNT NUMBER
(DO NOT SEND IDENTIFICATION CARO OR PLATE)
ENCLOSED
-------
Signature of the
Money Order
Head or Household
or Check
!Sears
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(WRITE-DO NOT PRINT)
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