MembershipCards_S

..... Reg._.1654......... Salt., .. Elizabeth............................................... . 306 Hudson Street, Buf . 1 I f;2t) I

Bus.

!Ir" (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.

D By Baptism :tJ By Letter from Cedar Street Baptist, Buffalo

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

D By sprinkling

My name in Juli

(If married woman give first name also)

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

TELEPHONES

Occupation

Home ________

Business Address

Date __ J-"u=nc..ce~J-=-0_,_ 1

-=l"--9-=-0-<-9_______

Bus.

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