To _______________________________________________________________________ Church:

Pastor ________________________________________________________________________:

______________________________________________________________________, members in good standing, has (have) expressed a desire to be affiliated with your congregation, without the transfer of membership, and we hereby commend _______ to your Christian fellowship and loving interest for that relation. This does not transfer _______ membership.

On behalf of _______________________________________________ Friends Church.

_________________________________, Clerk

______________________________, Address

To ________________________________________________________________ Friends Church:

_________________________________, Clerk

We have received the affiliate membership certificate issued by you on _______________, 20 ____ and accordingly have accepted _______ into affiliate membership.

In behalf of ________________________________________________________Church held at __________________________________, on ___________________________, 20 _____.

_________________________________, Clerk

______________________________, Address