SATISFACTION GUARANTEED OR MONEY BACK 
ORDER BLANK 
Amount Enclosed, $s 
PITZONKA’S PANSY FARM 
“The Home of the Pansy’’ 
BRISTOL, PA. 
Wntegiee riser tip ee cite AOA 
Gentlemen: Please send the plants listed below to 
Name 
Please Print Name 
Pesto hice eee near ee eee Me Box No. 
Street or Rural Route 
Gi ty ee ere tc Mee OE AY As State 
Ship b usbele Shipping point 
Senet Mail or Express PRE 
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 
