British Red Cross Society.
Order of St. John of Jerusalem.

Telegrams [unreadable]
Telephone Mayfair 4707

_B.R.C.S. or Order of St. John ..._

Sir,

Will you kindly fill up the following form of Medical Certificate,
returning it to the address given above.

Your communication will be received as strictly confidential.

It is urgently requested that Members'
names and detachment numbers should
be filled in legibly.

Yours faithfully,

MARGARET HEMPHILL


MEDICAL CERTIFICATE

1. Name

2. County No. of Detachment