MembershipCards_S

__Reg_._ .3331 ____ $µ gg$,__Mi _§_. _W.:lJ.l.i..~m.W.~..Jr~tMa,_I'Jqr.J.~. _fri.~.P~e) Watewf9pQ, Pa., R. D. 11 1 5

Home ____ _

28 Glenwood Drive, Westerville, Ohio

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ITS"'" ( 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. 4-14-38 [2ti By Baptism D By Letter from------------------------------------

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

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D By sprinkling

r I C My name In Juli ---,-------------- ------1t-~ - -+-+-+-- - - - ------ - (If married woman give first name also) i.:, C.

TELEPHONES

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

Home ________

Business Address

April 14 , 1938

Date

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