To:  Joe.Reynolds@txmosb.org
From:  [email]
Subject:  Request Password for the Military Order of the Stars and Bars

I would like to request a password for the Members Only Section of MOS&B:

ACTIVE MEMBER:	[agree]

FIRST NAME:			[fname]
MIDDLE NAME:		[mname]
LAST NAME:			[lname]
MEMBERSHIP NO.:		[mnumber]
SOCIETY:			[society]
CHAPTER:			[chapter]
EMAIL:				[email]

REQUESTED USERNAME: [username]
REQUESTED PASSWORD: [pwd]
REQUESTED PASSWORD: [pwd2]