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
Viola Carver	Ferebee	Fayetteville	NC
Ruby Carver	Kirkland	New York	NY
Maureen O'Hara	Williams	Fayetteville	NC
Desiree Breseida	Shaffer	Fayetteville	NC
Desiree Denise	Shaffer	Fayetteville	NC
Helen E	Dunn	Clarkesville	GA
Rosanne DeAndrea	Cucurello	Plainfield	NJ
Barbara Cucurello	DeSantis	Brick	NJ
Gladys Finn	Davis		GA
Becky S	Bonar	Cortez	CO