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With the help of God
בעזרת השם יתברך
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Committee Joining Form

I hereby declare that I have read the Manifesto of the: "International Rescue Committee to save the Jewish families of the Lev Tahor community in the settlement of Bovel, municipality of Oratorio, Guatemala". Therefore by fully sympathizing with its content, I join hereby the members of the International Rescue Committee.

With the help of God, I will do my utmost effort to work with all my possibilities for the objectives stated in the aforementioned document, according to the resolutions to be adopted by the Board of Directors.

At the time the Board decides to address any authority it will be represented also in my name.

Thus I feel very honored that my name will be included as part of the members of the International Rescue Committee in the given case the Board considers it necessary.