DO NOT DETACH.

To the applicant: Name ...... Mrs. Jennie W. Field, C.S. ......
Please fill out the Street and Number ... 18 Forest St., ........
following for the use Town or City ............ Chicago, ..........
of the Treasurer of State ............................ Ill ......
the Church:


Application II

SIGNED, ENDORSED, AND COUNTERSIGNED,

ACCORDING TO ARTICLE VI, SECT. 2


If you have not been taught by a loyal student who has taken a degree at
the Massachusetts Metaphysical College, or by one who has passed an
examination by the Board of Education, fill this blank.


FORM 2

One who is not a member of any church, excepting a branch church
of Christ, Scientist, who loves Christian Science, and reads
understandingly the Bible, and SCIENCE AND HEALTH WITH KEY TO THE
SCRIPTURES, by Reverend Mary Baker Eddy, and other works by this
author, and who is Christianly qualified and can enter into full