fellowship with the Tenets and Rules of The First Church of Christ,
Scientist, in Boston, Mass., is eligible to membership.

_To The First Church of Christ, Scientist, in Boston, Mass._

Gordon V. Comer Clerk.

I hereby make application for membership, and subscribe to the
Tenets and the By-Laws of the Church. I have not studied Christian
Science with a teacher, and am not a member of any church excepting
_Second_ Church of Christ, Scientist, at _New York, N.Y._

I was formerly a member of the .............................
............ denomination, but have definitely severed my
connection therewith.


FORM 2--(Continued)

Name .............. Miss Emma L. French .................
Street and Number ...... 293 Emerson St., ...............
Town or City ................ New York ..................
State ............................ N.Y. .................
Date ................. Jan. 2nd, 1901 ...................

I cordially approve the applicant.

(a) ............. Miss Mary E. Grant, C.S. ...............

Countersigned by .... James B. Brown, C.S.D. .............