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

Delaware Avenue Baptist Church - Buffalo, N. Y. 1~al·13 ~ By Letter from __ C_e=n~t~r~a~l~P_r_e~s_b=yt~e __ r_i_a_n~,_B~r_o_o_k~l=yn-'---'--~' ~I~·{=Y__________ _ D By Baptism D\ i::".C) fu

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 Aoril 10, 1935

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