From Wesleyan Discipline
6030. Letter Given to Person Desiring to Transfer to Another Denomination (590).
This certifies that ____________, the bearer, has been up to this date an acceptable member of the _______________ Wesleyan Church, and being desirous of removing from said Church, is hereby released and cordially recommended to the Christian confidence of those to whom this certificate may be presented. By authority and in behalf of the ______________ Wesleyan Church, this ______ day of __________, AD ________.
________________________ Pastor ________________________ Local Church Secretary
(It is understood that this letter of recommendation terminates the bearer’s membership in The Wesleyan Church immediately.)