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
Mary Howell	McJunkin	Rome	GA
Gazena	Dolphin	Cottage Grove	OR
Patricia (Trish)	Woepking	Riverside	IA
Marquita	Crews	Warner Robins	GA
Doris	Bier	Chehalis	WA
Leslie	Garvis	North Richland Hills	TX
Patricia	Evans	New Lenox	IL
Virginia	Whiting	Oakland	MI
Shirley	Symon	Vassar	MI
Julia	Schmitz	Troy	MI