MembershipCards_S

N JT, Reg. 2634

Seeber, Richard )(~~~

Home-~

286 l

alnut Street,

East Aurora

Bus.

~ (Applicant will please not write in spaces above this heavy line)

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

[3 By Baptism Delaware Avenue Baptist Church - Buffalo, N. Y. 4-20-24 D By Lette r from --------------------------------------

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

D By sprinkling

My name In full

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(If married woman give first name also)

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0<--1,,.., re'i:. u<", Address ------------------------------------ Zone___

TELEPHONES

Occupation

Home ________

Business Address

April 20, 1924

Date

Bus.

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