SATISFACTION 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 
Post Office 
Please Print Name 
Box No. 
City 
Street or Rural Route 
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 
