MembershipCards_N-P

. ~? ...01.{t- R~ .... Reg•... 2Lh6 .... ~~J'~J'~······ ~:;,;:;~ 170 Cable Ave ., Kenrnore 23 /LJ. , . -1 -y"),, 3 GR 7030 ( Bus. !Jr- 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 XJ By Letter from ·_ --=La=f=a.,_y-"'e-"'t-"'t-"'e-=Avc,_.=e._,nu==e--=Ba=n=-"'t=i=s-"'t~,--=Bu=f,.,_f,,,,a... l=o__ _,__\ -+-'l ed=..,\--,__,,,5e,,.·: .tf1t"I--'-'' 3""'~.._,_l'i.._JN/

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__

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.J. Mo :h, t

U""' ~ c ~ r 'm c. n ('l'J ~ r:-Os+,: 1ri

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TELEPHONES

Occupation

Home _______

Business Address

October 6, 1920

Bus.

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