MembershipCards_U-V

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......RGg.!.... f.9..5..0........ JJ.g~xi:t~.~.... EmilY.......................................................................... 150 Ilion Street, Tonawanda

Home _____

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~ (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 i:J By Letter from -~E~u~c'-'J_j~d~~A~v~a~D~Ji~a~.... lli~~n~t~,~j~s~±~,....... C~b~i~ir ........ c~b~,-.ur:... J... e~v._,_.e.,_).;;a..cnL-J..Ud..,,,_..,Q..,_h~i__.n.,________

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)

Address ----------------------------------- Zone__

TELEPHONES

Occupation

Home ________

Business Address

Date ___ J_a_n_u_a_r-"y_l~''---'1""9_,3C--'3"-------

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