SAT I SFACTION GUARANTEED OR MONEY BACK 
ORDER BLANK 
Amount Enclosed, $ 
Pitzonka s Pansy Farm 
“The Home of the Pansy ” 
BRISTOL, PA. 
Date_193 
Gentlemen: Please send the plants listed below to 
Name _ 
Please Print Name 
Post Office_Box No_ 
Street or Rural Route 
City._State_ 
Ship by___Shipping point 
Mail or Express 
Quantity 
NAME OF VARIETY 
Dollars 
Cents 
, „ 
Shipping charges 
TOTAL 
SHIPMENTS ARE PREPAID ONLY WHEN NECESSARY CARRYING CHARGES ACCOMPANY ORDER 
See other side for table of shipping rates 
