MembershipCards_S

S hlaueh, Mr~. Amanda

83d 0305--

284 Winderem.ere l:v.d. ....E ~~lle, N--.¥"7"" T4226 ........................................................................ , ............ -· ................................................................... I "=< .3 \< "- i s+- > I 4,;J. \ ~

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iJr" (Applicant will please not write in spaces above this heavy line)

;:,./rz/77 Delaware Avenue Baptist Church - Buffalo, N. Y. D,e

I WISH to enter into active Christian Service by becoming a member of

0 By Christian Experience Method of my baptism : D By immersion

D By sprinkling

My name in full

(If married woman give~ rst name also)

/Lf"J...)..~ Zone__

Address __:,;Q,~....Q-.--J:__i~'...J,...~( ....1.<:~~=,e..,~-.i.si._,i:.~,{,,,.....!...',,,q..,~£:..1..(."1-l.<~:.&.J~....!.1,.~-'--

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Business Address

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Date

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