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I WISH to enter into active Christian Service by becoming a m e mber of

Delaware Avenue Baptist Church - Buffalo, N. Y.

0 By Baptism 1XJ By Lette r from

Mr . Mor i ah Baptist , Smithfiel d , Pa .

0 By Christia n Experience Method of my baptism : 0 By immersion

D By sprinkling

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My name In full

(If married woman give first name also)

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Address - - - - - - - ---------- ----- - - - - ---------

TELEPHONES

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

Home ______

Business Address

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