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

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

Delaware Avenue Baptist Church - Buffalo, N. Y.

', ct 1 er t 7 D By Letter from ----------------------------------- D By Baptism Formerly member Hudson Street BaDtist [X By Christian Experience Letter from Central Presbyterian Me thod of my baptism: D By immersion D By sprinkling d · ;v/ Ont_ .f'

My name in full

(If married woman give first name also)

Address --------------------- - ----------- Zone__


Occupation ------------- - --- --- -----–

Home _______

Business Address Date -~De~ c_e_m_b_e_r_ l _2~,_1~9_2~3______


Made with FlippingBook Learn more on our blog