6052
From Wesleyan Discipline
6052. Certificate of Membership (553:4)
This is to certify that ____________________________has publicly confessed Jesus Christ as Lord and Savior and has been received as a member of The Wesleyan Church and locally of the ______________ in ________________ on this _______________ day of _______________ in the year of our Lord _______________.
________________________ Pastor ________________________ Local Church Secretary