MembershipCards_L

BASSETT PARK MANOR, 111 ST. GREGORY COURT, WILLIAMS~f:!J-/ __Reg_. ___302 5_________ Lewis __ _Mrs_. ___Elmer __ J_. ___ (Margaret __ Beck)___________________ ...::f:75 ? 4S 7 Hig!l.gate Averrae, Buf. ~ Home

221

H 2163

7 c,t ;;u S e

636-5636

Bus.

~ (Applicant wiJJ 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 ~ By Letter from

North Parle Baptist Merger

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 Date __ J_u_l=y_ l ~,_1~9~34~------

Bus.

Made with FlippingBook Annual report