MembershipCards_S

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21 Jewett Parkway, Buf.

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Bus. VI 366l:r

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~ Applicant will please not wnte m spaces a ove this eavy hne

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

Delaware Avenue Baptist Church - Buffalo, N. Y.

D By Baptism D By Letter from -------------------------------------

Former Member Reg . 2730

~ By Christian Experience

D By sprinkling

Method of my baptism : D By immersion

My name In full

(If married woman give first name also)

Zone__

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

TELEPHONES

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

Home ________

B~s Address

Date __ J'----u=ncc..e-=-.,J"----'--,__,1=9'---"5=1 ----------

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