MembershipCards_S

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Home ___ _

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

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

Delaware Avenue Baptist Church - Buffalo, N. Y.

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By Baptism

0 By Letter fro m --------------------------------- -----

0 By Christian Experie nce Method of my baptism : 0 By immersion

0 By sprinkling

My name in full

(If married woman give first name also)

Zone__

Address ---------------- --- ---- --- ---- --- - - -

TELEPHONES

Occupation

Home _ ____ _ _

Business Addrei's

3122770

Date

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