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
Margaret Eason	Kirkland	Abbeville	AL
Pat Wood	Walker	Springville	AL
Karen W	Orton	Hueytown	AL
Elizabeth Lea	Hughart	Welaka	FL
Kimberly Carter	McNeely	Yulee	FL
Catherine Brown	Grant	Pine Mtn Valley	GA
Margaret Minton	Brown	Pine Mtn Valley	GA
Gloria D	Jeffries	Dalton	GA
Julie	Bailey	Cave Spring	GA
Agnes	Sciullo	Johnstown	PA