MembershipCards_N-P

~~-~ ------·------ -- --- -- ----- ---~ --7-/ ~of~ 3119

Fel . 309

Poehler, :Morris A. 21-Horton Place, Buf-.-9 lfxO ();~a.12. M, 1(~. , 7 _

Bus-

~ (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 D By Le tter from -------------------------------------

Lutheran church in Clifton , N. J .

Kl By Christian Experie nce

D By sprinkling

Method of my baptism : D By immersion

My name in full ---;;-;;----:-;-----:---;:~-----;----:--------------------– (If married woman give first name also)

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

TELEPHONES

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

Home ________

Business Address Date December 4, 1949

Bus.

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