SATISFACTION GUARANTEED OR MONEY BACK 
ORDER BLANK 
Amount Enclosed, $e 
PITZONKA’S PANSY FARM 
“The Home of the Pansy” 
BRISTOL, PA. 
Dates Serre en “Auli ai Nee ies LA 
Gentlemen: Please send the plants listed below to 
Name 
Please Print Name 
Post tice men arene a Box No; 
Street or Rural Route 
il yee eae ee eee ria og ee ee reerieee en eee State 
Ship bye Shipping, point 
pti Mail or Express ping P 
Quantity NAME OF VARIETY Cents 


Not less than 50 plants at the 100 rate, 250 at the 1000 rate = Shipping charges 
AN ORDER MUST AMOUNT TO $2.00 OR MORE TOTAL 


SHIPMENTS ARE PREPAID ONLY WHEN NECESSARY CARRYING CHARGES ACCOMPANY ORDER 
See other side for table of shipping rates 
