MembershipCards_S

_____R$g_.___ JJ9.5 _______ Savut o_, ___Mrs_. ___Peter___ J _. ___ _(Joan_ Spencer)

5()5 N; Wellwood Ave., Lindenhur s t, L o ng I sland--lome ____

Bua.

~ (Applicant will please not write in spaces above this heavy line)

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

!XI By Baptism Delaware Avenue Baptist Church - Buffalo, N. Y. 3- 21- 40 0 By Letter from ------- ------------------------------

D By Christian Experience Method of my baptism : 0 By immersion

D By sprinkling

F'...arried 6-16- 51

My name In Juli

(If married woman give first name also) \A I (l Address - - ------------- ------------------- Zone__

TELEPHONES

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

Home _ _______

Business Address

Date __ M----'a=r"-c=h-"---'2=1,,___,'-------=1""'9--=4<-=0'-------

Bus.

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