CERTIFICATE OF TRANSFER

                           Date

To the ________________________ Monthly Meeting,

Address ________________________ Postal Code ________

Dear Friends,

ACCEPTANCE OF TRANSFER

                           Date

To the* ________________________ Monthly Meeting,

Address* ________________________ Postal Code* ________

Dear Friends:

MONTHLY MEETING MEMBERSHIP RECORD

Member's full name _________________________________

      (If married name is different, put name at birth in parentheses)

Birth date __________ Birth place ________

ADMITTED TO MEETING MEMBERSHIP

Date ________ By request ________ By request of parents ________

      By birth ________

      By transfer certificate from the ________ Monthly Meeting

PARENTS