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[[preprinted form]] TENTH ANNIVERSARY CAMPAIGN To the Office No. [[line]] Federation for the Support of Jewish Philanthropic Societies of New York City Date [[line]] I hearby agree-in accordance with the terms on the back hereof- to subscribe to the sum of [[line]] dollars for the year [[strikethrough]] 1926 [[/strikethrough]] ^[[1928]] and annually thereafter. Name [[line]] Address [[line]] Firm name [[line]] Business Address [[line]] Industry or Profession [[line]] Secured by [[line]] Make checks payable to H. A. GUINZBURG, Treasurer, 114 Fifth Avenue, NEW YORK CITY [[/preprinted form]]