Test Record (deleteme)

Membership Number
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
Deceased At Join?	Deceased At Join? Yes No
Comments	Worked as a riveter and bucker on the bomb bay doors of aircraft at Webber Showcase in Los Angeles, CA, from Sept 1943 - Jan 1944.
Name/Location of Company Worked	LA Where did Rosie work?
Dates of Work	When did Rosie work?
Type of Work	Riveter and bucker 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
Is/Was Rosie a member of ARRA?	Is/Was Rosie a member of ARRA? Yes No Joining Now
Contact Name (Deceased Rosie Contact)	Contact other than Rosie contact info, may be a relative
Contact Email Address
Contact Phone Number
Contact Relationship

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