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 
Please Print Name 
Post Office 
Roy 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 oj shipping rates 
