VERMONT BRANCH: Mr. Charles S. Forbes, S. Albans, Vt.
WYOMING BRANCH: Miss Winifred W. Woods, Cheyenne, Wyo.
Application for Membership in the American National Red Cross.
I apply to be enrolled as a (Life/Annual) member of the ........................
Branch of the American National Red Cross.
Name................................................
Address.............................................
Life membership dues, $25.00.
Annual membership dues, 1.00.