LOCAL AGENTS AND CORRESPONDENTS DEPARTMENT.

Proposition for local agent, correspondent, etc.

Name………………………………………………………….

Address……………………………………………………….

Occupation…………………………………………………….

If a Soldier, what Corps?……………………………………….

If not a Soldier, what Denomination?……………………………..

If spoken to on the subject, what reply they have made?…………….

……………………………………………………………..

Signed……………………………………………..

Corps………………………………………………

Date………………………. 189 .

Kindly return this as soon as possible, and we will then place ourselves in communication with the Comrade you propose for this position.