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 
Pleaac Print Name 
Post Office 
Roy No 
Street or Rural Route 
City 
State 
Ship by_;_Shipping point 
Mail or Elxpreas 
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 
