To whom it may concern

This is to certify that __________________________________________________________
(Name of Member)

Is a member in good standing of_________________________________________________
(Name of Church)

of__________________________________________________________________________
(City and State)

an auxiliary of________________________________________________________________

with dues paid to ___________________________________________________________
(Date)

This DEMIT shall be of no value after ninety days from the date below.

Signed at __________________ ________________ Date: ______
(City and State)

Signed by the President ______________________________

Signed by the Secretary ______________________________

Seal or Stamp