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?…………….
……………………………………………………………..
……………………………………………………………..
……………………………………………………………..