test form

   Member Division/Flotilla   Select 1-3 1-5 1-7 1-9 1-10 2-1 2-3 2-5 2-11 2-12 4-1 4-2 4-3 4-4 4-10 5-1 5-2 5-3 5-4 5-5 6-2 6-3 6-8 6-10 7-1 7-3 7-4 7-5 7-8 7-9 8-5 8-7 8-11 11-2 11-4 11-5 11-6 11-7 12-1 12-2 12-5 12-7 12-8 16-2 16-5 16-6 16-7 16-9 18-4 18-6 18-7 18-8 24-2 24-4 24-5 24-6 24-7        Member Number  

   Member Name          Member Status    Select IQ AP BQ AX AX2

Please discontinue and/or downgrade participation in the following
Auxiliary program(s).