Test (deleteme)

Newsletter	Would you like to receive our Newsletter via postal mail?
Salutation
First Name
Middle/Maiden/Previous
Last Name
Address 1
Address 2
City
State
Zip Code
Phone	Your primary contact number
Email	This is the email address we will use to send the Newsletter, if you chose to receive it by email.
Code
Work Code #
State Membership
Status
Date of Birth	mm/dd/yyyy
Date of Death	mm/dd/yyyy
Comments
Name/Location of Company Worked	Where did Rosie work?
Dates of Work	When did Rosie work?
Type of Work	What work did Rosie do?
Rosie Name if Rb or Rv	If new member is a RB or RI what is the Rosies Name and Relationship

First Name	Last Name	City	State
Michelle Nicole	Esqueda	Las Cruces	NM
Kathryn	Rozman	Solon	OH
Jayme	Bryan	Palm Bay	FL
Mark	Thornton	Port Austin	MI
Margrethe	Lewis	Solomons	MO
Gayle	Carr	Galveston	TX
David	Baatenburg	Jenison	MI
Constance	Rickerd	Thurmont	MD
Carol	Byrd	Woodstock	MD
Florence	Case	Thurmont	MD