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

Delaware Avenue Baptist Church - Buffalo, N. Y.

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D By Baptism

.1. { <., {(,, (;, [XI By Letter from ----=F'-"i,,.-r'-'s"-t_,::_""Ba=p~t;..=i~s=c....t=-,'--'P=-1=·nc.=...:c.e--=B=lc.::uf=-=f:....,z..._:A:..::r=-1~<~·----------– w, ll,ofY\sb,Ji(,,e ~ci;.-\ c..,

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

D By sprinkling

My name In full

(If married woman give first name also)

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

TELEPHONES

Occupation --------------------------

Home _______

Business Address

Date __ A_.p_r_i_l'---'l-'4...L,-=19c..3:::...8______

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