MembershipCards_S

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____ ~ __4042_____________Seeley,____Miss__E.__Louise _________ -----------·------------------------···· ~~~,'·~~~ ~ Y:;t17 · ' (Ap(i~not write in spaces above this heavy line)

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

Delaware Avenue Baptist Church - Buffalo, N. Y.

D By Baptism

Formerly ad~itted by letter from Glenwood Ave. Baptist 0 By Letter from --11:t,11sfa: ... '3:r---15..-,~l~9 8'29AQc------------ ----------- - - Reinstated Former) y #21121 0 By Christian Experience Method of my baptism : 0 By immersion 0 By sprinkling t::- c.--e A-5 e -1J My name in full -------------------~~- +-~/~..,----+-/ ________ (If married woman give first name also) 7/1-:J 7-:J / Address---------------- ------------ --- Zone__

TELEPHONES

Occupation -----------------------–

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Business Address

Church Va+.e Oct. 25, 1961

Date

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