MembershipCards_W-Z

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~u+' 3 ?O ____Reg_.___177-2____ W~dl~y, __ C_liilYin_ P~ __ _________ __ ___ __ __________ __ R, __ 370__ ______ _

K 2333 'lll ] 580

52 Russell Avenue , ~if . 14

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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.

D By Baptism G'!i By Letter from --=A=u~b'-'u=r,_,n~P=-=a-=-r=k'---=B~a~C--'o,C..,,~I,,,,l=l=i=n'-=o'-"i=s"-----~---- ' &.f ..:. r{41o ! - D By Christian Experience Method of my baptism : D By immersion D By sprinkling

My name In full

(If married woman,give first name also)

Zone_ _ _

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

TELEPHONES

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

Home ________

Business Address Date __ Ap'---r_il=-_2_,__,-=l,__9=1=1_______

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