MembershipCards_S

0111 If- 33

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e/ e Mrs , Eoy Alli son

Home _____

Bus.

illr" (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.

[! By Baptism Apri l 10 , 1949 0 By Letter from - --- - - -------------------------------

0 By Christian Experience

Method of my baptism: 0 -By immersion

0 By sprinkling

My name In full

(If married woman give first name also) Address -------=F~o=rm~e,~r~l,,.,y,__1=· ~n~P~r~o~t~e~s~t=a=n~t~E~o~m~e~-------- Zone__

TELEPHONES

Occupation

Home ________

Business Address Date April 10 , 1949

Bus.

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