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
Rebecca Meadors	Whitman	Monoe	MI
Gail Hood	Bothwell	Rochester	MI
Jimmie Russell	Crawford		KY
Laura J	Hankins	Pleasant Hill	MO
Andrew Mark	Molinich	Nanty Glo	PA
Curtis L	Griggs	Clarkdale	AZ
Jaqueline Noelle	Kempe	Milton	MA
Nancy Joan	McEldowney	Dexter	OR
Rosalie Bagrowski	Lynn	Upper Marlboro	MD
Mary Ann	Davis	Clemmons	NC