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
Tomesita Lopez	Zendejas	Thornton	CO
Daniel	Penner	Yukon	OK
Patty Penner	Huffman	Fay	OK
Phyllis J	Colagross	Dothan	AL
Mary Ann	Colin	Kingsville	TX
Georgia Carey	Wilcox
Clara Brown	Weeks
Idell Weeks	Kirby
Philip	Wilcox	Oklahoma City	OK
Lisa Prentice	Brown	Oklahoma City	OK