MembershipCards_S

Reg 3917

Home ~e 888e ~ Bus.

•p

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

Delaware Avenue Baptist Church - Buffalo, N. Y.

0 By Baptism ~ y Letter from __ _L_~ -"-L-4Ll----,l'--- +..:...,;CL;~'---'__..;c_=-,;:________ ___________

oc:bcv,

0 By Christian Experience

0 ,5h sprinkling

Method of my baptism : c:IBy immersion

4d // ,1

~ / (' ~ ) -

in fuuf/}f. S.

J.~

My name

-:J

(If ~ ned ~ ~ an give first name also) dj ? 9 (]_, >/-' / , Y ,//~1"'

r

'1-"'

Address

Zone____;Z_

-–

f }-, ,, ~ /. / Y~ /"'

;:§',._,

TELEPHONES lJ/": -~ ' k

Occupation

; I

Home

Business Address

(_

/ H-1-ob

/~/ Date ---" - - -~~~---------

Vote

S:i v

Bus.

Made with FlippingBook Learn more on our blog