MembershipCards_S

....Reg•.. ..26.3.2........Rill, .. Mr.s..... Richar.d... .(Ethe.l .. Seeber)........... 449 Sutton Avenue, Hackensack , N. J .

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pr- (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 4- 20-1924 D By Letter from --------- - - --------------------------

D By Christian Experience

''J( '

Method of my baptism : D By immersion

D By sprinkling

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My name in Juli

(If married woman give first name also)

A. 1~0 I I

t ' I Address ------- ---- ----------------------- Zone__ \

TELEPHONES

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

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Business Address Date __ A~p...-..r1_· 1~_20--+,~J.,_9_2/ ..... 1_______

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