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
Rita Lillie	Lindahl	Wahoo	NE
Jennifer Anne	Kempe	Milton	MA
Sharon Ott	Beard	Columbus Junction	IA
Virginia L	Murphy	Ft Myers	FL
Edith Jane	Kolehmainen		MI
Evert	Falkena	North Platte	NE
Roseann Saraceno	Mahanes	Lusby	MD
W Jewel	Huntley		MI
Alice C	Ryan		MA
Carroll Alvan	Noel	Eugene	OR