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 
N ame__ 
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 
