I, the undersigned, am in sympathy with the appeal to the Belgium Chamber set out above, and authorize you to publish my name as a signatory.
Name ↑Emily Greene Balch↓
Profession [blank]
Full Address ↑17 Roanoke Road Wellesley Mass↓
Signature:
Emily Greene Balch [signed]
Please return to: Dr. J. A. SPINCEMAILLE,
708 Fahrenheitstraat, The Hague, Holland.

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