FORM OF LETTER OF DISMISSION
The _____ __ _______________ church of _____ ______ _______
To the ____ ___ ______________church __ _______ __________________
This is to certify that ___________________ is a member of the church of God and regular standing. And is at own request here-by dismissed from us to unite with you.
When we receive notice from you that __________ _____________ has united with you church. Connection with us shall cease.
May the blessing of God rest on _______ ___________ and you.
Given by order, and in behalf of the ___________ ___________church