MembershipCards_N-P

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¥!-1368

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170 Cable Ave . , Kenmore ~ / ~ ;,-;.,--- 3 ~ (Applicant will please not write in spaces above this heavy line) l) !ot.ll /v Delaware Avenue Baptist Church - Buffalo, N. Y. Bus. 4, /

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

~ By Baptism 4-12- 25 0 By Letter from -------------------------------------

0 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

April

Date

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