MembershipCards_S

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...E~g_~....3.717........ Stephanz.,... Rev •.. Harold... J •. .. .. 34 Fairfield Street, J3uf. 14

Home PA 1556

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!Jr- ( 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.

D By Baptism IX] By Letter from First Baptist , Sandusky Ohio

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

D By sprinkling

My name in full

(If married woman give first name also)

Address---------------------------------- Zone__

Minister of Christjan Educati an

TELEPHONES

Occupation

For Delaware

Home _______

Business Address

Sept • 10, 1950

Date

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