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
Karen	Baber	Loudon	TN
Dorothy	Horne	Plainfield	NH
Isla	Long	Ogden	UT
Cathy Jackson	Avischious	Waxhaw	NC
Frances L	Young	Kinberling City	MI
Victoria K Monroe	Croston	Conroe	TX
Dotsy Bess	Turner	HARBOR SPRINGS	MI
Rena	Van Buren	Silver Spring	MD
Willa Lea	Fouty	Springdale	AR
Virginia	Smith	Longview	TX