MembershipCards_S

~397l.. ..........Se~.P.~.r,...Mr.1:1..•....Edw:~r.cL.t .•....(P<:>r<:>:t,hy) ............................... ~~ 627 E. Baya Ave., Lake City, Fla, ~ (Applicant will please not write in spaces above this heavy line)

LI 2058

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

Delaware Avenue Baptist Church - Buffalo, N. Y.

Former member of Delaware

0 By Christian Experience

D By sprinkling

Method of m y baptism : 0 By immersion

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My name in full

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TELEPHONES

Occupation

Business Address ----------------------- Home

Church vote 10-2-58

Date

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