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
Johnathan	Wright	Broken Arrow	OK
Alice K	Schafer	Doylestown	PA
Virginia	Wiley Whitmire	Westland	MI
Mary	Dean	Southgate	MI
Ron	Crichton	Fenton	MI
Jocelyn	Heksem	Lansing	MI
Kelsey	Daoust	Warren	MI
Mary	Robinson	Ortonville	MI
Nita Fae	Overby	Oklahoma City	OK
Janice Lee	Reimers	Oklahoma City	OK