119-T4.1pac, 2019 ALA Test Design U.S. Christmas Seal Annual Packet, Oregon Return Address, VF, MNH. Issued 2019 by the American Lung Association (ALA). Fund raising packet of products from the ALA, which contains one sheet of Test Design Christmas Seals (119-T4x), and one sheet of Gift Tags, (119-T4.7x)), one sheet of stickers and labels (119-T4.6x), 2020 Christmas Seals Themed Calendar (CL119-T4), Memo Pad (MP119-1), 2019 Sample Annual Christmas Seal Campaign Letter (ACL119-T4) and return envelope with Maine remittance address.
Christmas Seals are also known as TB Charity Seals, and are usually classified as Charity Seals or Cinderella Stamps.
The American Lung Association (ALA) issues Charity Seals twice a year. U.S. Christmas Seals, before, or at Christmas, and U.S. Spring Seals, before, or at Easter.