In 1883 Dr. Ray Vaughn Pierce (1840-1914) combined his mail-order consultation and popular medicine business, his Invalids’ Hotel and Surgical Institute, and his printing and publishing operation into the World’s Dispensary Medical Association. Operating out of Buffalo, N.Y., the association was enormously successful. The hotel drew visitors from across the nation and overseas. One hundred editions of Pierce’s best known work, The People’s Common Sense Medical Adviser, were in print steadily between 1875 and 1935. And his mail-order business was booming, thanks in great part to Pierce’s savvy outreach efforts like this request form that asks people to provide names, addresses, and ailments of acquaintances they think would benefit from treatment by the Association. Not surprisingly, such referrals are no longer encouraged.