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.