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
Jerry K	Lewis	Birmingham	AL
Karen Rose Black	Lewis	Birmingham	AL
Larry Albert	Hinton	Sweet Home	OR
Arnold Clair	Brunner	Hollidaysburg	PA
Jerry W	Crowell	Baltimore	MD
Margaret Koritko	Delivak	Baltimore	MD
Roma Carol	Sacks	Forest Hill	MD
David Thomas	Delivak	Baltimore	MD
Linda K	Summey	Reisterstown	MD
Ann Marie	Miller	Laurel	MD