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If one party outranks the other in terms of educational degree or professional or social standing then their name always appears first on both the envelope 'Dr.(R) and Mr.(A) Smith' and on the letter itself 'Dear Ruth and Alan' (if you are on a first name basis) or Dear Dr. and Mr. Smith (if not).

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Q: What is proper way to address a letter to husband and wife when the wife is a doctor?
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