SATISFACTION GUARANTEED OR MONEY BACK 
ORDER BLANK 
Amount Enclosed, $_ 
PITZONKA’S PANSY FARM 
“The Home of the Pansy” 
BRISTOL, PA. 
ete ice te ier eee | OA 
Gentlemen: Please send the plants listed below to 
Name 
Please Print Name 
Pete) ice ee ee ee te a  BostNG 
Street or Rural Route 
Cig eee ese) EM vrpael J adi pit dt State 

Onin by eat) | Shipping point 
Pie Mail or Express Pping ® 

Quantity NAME OF VARIETY Cents 

a | | 

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 
