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
Regina Shasteen	Grisham	Oakwood	GA
Mary Elizabeth	McEwen	Tullahoma	TN
Abigail Starr	McEwen	Tullahoma	TN
Helen E	Thompson	Oklahoma City	OK
Gladys Jones	Edwards	Greenville	SC
Dolores A	Gareis	Lancaster	PA
Lauren Daphne	Hinmon	Baltimore	MD
Susan Magadlene	Hinmon	Baltimore	MD
Julian John	Hinmon	Baltimore	MD
Josephine C	Feige	New Holland	PA