MembershipCards_S

... R.J?.K~... 2.9.79 ....... Seoins., ..Mrs.•...Hattie .. :M • ....... 216 Lexingbon Avenue, :Buf .

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~ (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.

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D By Baptism

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[}lBy Letter from First Baptist , Batavia

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

D By sprinkling

My name in full

(If married woman give first name also)

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

TELEPHONES

Occupation

Home _______ _

Business Address Dat.fi.pril 2, 19 33

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