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New York Guild for the Jewish Blind
Office 200 West 72nd STREET, N.Y.

A member is to our Organization what a Bread Winner. 
is to a Family - [[underlined]] DEPENDABLE [[/underlined]]

Kindly enroll me as a [[blank  line]] of the N. Y. Guild for the Jewish Blind, at an Annual Subscription of [[blank  line]] Dollars.

Name in full [[blank line]]
Address [[blank line]]
Proposed by [[blank line]]

CLASSIFICATION OF MEMBERS
Asso. Member - $5.00
Member - 10.00
Patron - 25.00
Asso. Donor - $50.00
Donor - 100.00
Life Member - 500.00

Please fill out this blank. Make checks payable to the order of the New York Guild for the Jewish Blind.

(OVER)