MembershipCards_S

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I<...( '2.. o&, Delaware Avenue Baptist Church - Buffalo, N. Y.

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7/ .:?./73

D By Baptism

Broadus Memorial Baptist , Richmond Va .

~ By Letter from

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)

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TELEPHONES

Occupation --------------------------–

Home _______

Business Address

Bus.

Date

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