Participant Info

Membership Number
1179
Salutation
Ms
First Name
Faith
Middle/Maiden/Previous
Last Name
Khalik
Address 1
3579 Midvale Cove
Address 2
City
Tucker
Zip Code
30084
Phone
770-493-4027
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Name/Location of Company Worked
Dates of Work
Type of Work
Rosie Name if Rb or Rv
Is/Was Rosie a member of ARRA?
Contact Name (Deceased Rosie Contact)
Contact Email Address
Contact Phone Number