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 of shipping rates 
