MembershipCards_C

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

Delaware Avenue Baptist Church - Buffalo, N. Y. 4-10-41 /C,./ 27?~ ~ - q,J.s-r-

[XJ By Baptism

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O By Letter from

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

O By sprinkling

My name in full

(If married woman give first name also)

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TELEPHONES

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. Home _______

Business Address

Date

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