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
Kelly A	Smith
Audrey Austin	Crawford		OK
John D	Crawford	Edmond	OK
Karen Smith	Ramey	Atlanta	GA
Katy E	Lewallen	Lilburn	GA
Donna Moss	Cloud	Cumming	GA
Shirley Westbrook	Lewallen	Loganville	GA
Janis Lewallen	Smith	Loganville	GA
Rita K	Blair	Sparta	GA
Lori B	Collins	Norman	OK