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
Gina	Russen	Naples	FL
Larry W	Crow	Ft Myers Beach	FL
Adrienne	Girardin	Leamington, Ontario
Madison	Hoak	Leamington, Ontario
Fran	Wilhide	Baltimore	MD
Rose	Strzelczyk	Parkville	MD
Mary	Speed	Mandeville	LA
Rosalie Kay	Dewitt	Camp Verde	AZ
Christy	Cornell	Broken Arrow	OK
Laura	Burrows	Worchester	MA