MembershipCards_S

,rr:e- (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.

0 By Baptism a By Letter from __ N_o_r_t_h_P_a_r_k_ B_a~p_t_i_s_t_H_e_r~g_e_r______ D~_t e_d _ _ rz----+-/-'1-1-,~~-

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

0 By sprinkling

My name In full

(If married woman give first name also)

Zone__

Address ------------------------ ---------- -

TELEPHONES

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

Home _ _ _ ____ _

Business Address

July 1, 19 34

Date

Bus.

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