This is to certify that

________________________________________________

who wishes to transfer to

______________________________________________________________________________
CHURCH AND ADDRESS

______________________________________________________________________________

______________________________________________________________________________

is a member in good standing with us, and we commend him/her
to your Christian fellowship.

On behalf of ____________________________________________________ Friends Church, ______________________________________________________________________________
ADDRESS

and by official action on _____________________.
                                              DATE

The transfer will be made upon official acknowledgment

of this certificate.

___________________________________________, Clerk
SIGNATURE

Acknowledge on _______________________________________________

of ______________________________________________________________
CHURCH