MembershipCards_S

~ R.-::..HJP.9 ........... ~.'-:lsgf3.. ,.v.-!J .1--JJ.?.:~.. w .. ~ ..... SP.L.............................. 9::-c.t . R 310s 1/6 LaSalle Aire. Buffalo J::=;!f, N. y . Home ____ ~..3.:;: -:k ( e. bo,. A u·y . ~~ ::/'-/() Wn-i;:>u...S lJr. A,of- 1 'fe~t b# B / us. ~ (Applicant will please not write in spaces above th'is eavy line) :s;; yd~,.- )Dy i'i 2,..).i; ( I WISH to enter into active Christian Service by becoming a member of D ed .Jul'( ;:i 1 . \9 'l y Delaware Avenue :Baptist Church - :Ruffalo, N. Y. 0 By Baptism

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0 By Christian Experience

O By sprinkling

Method of my baptism: ~ By immersion

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My name in full

(If married woman give first name also)

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Date

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