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I HEREBY CERTIFY THAT THESE SIGNATURES ARE GENUINE.Name________ Address_____WHEN FILLED AND SIGNED, PLEASE RETURN THIS LIST TO EQUAL SUFFRAGE LEAGUE OF VIRGINIA HEADQUARTERS, 100 NORTH FOURTH STREET RICHMOND, VIRGINIA.(Please keep a copy of this list on file at your local league.) [oval seal with the wording ALLIED PRINTING TRADE UNION COUNCIL RICHMOND VA]