MembershipCards_N-P

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Reg . 3649

Pawlol.d:;ki, Walter .:33·3~·- -E ;···g:~fe·e.--··s~iee1; ~~f . g 194 Wyoming Ave. 16

Bus.

fili:ar- (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

Church of Our Savior, Fillmore Ave., Buffalo [l By Letter from ------------------------------------- <' b, ,re h o.c::::ho~ 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)

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

TELEPHONES

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

Home _ _ _ _____

Business Address

March 31, 1948

Date

Bus.

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