MembershipCards_W-Z

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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 IXi By Letter from English Evangelical Ta1tberan Ch11rcb, Buffa] o Dtecl

9/1.9/,qr::,'f

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

D By sprinkling

My name In full

(If married woman give first name also)

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

TELEPHONES

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

Home ________

Business Address

March 1, 1922

Date

Bus.

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