Participant Info

Membership Number
1238
Salutation
Ms
First Name
Stacy L
Middle/Maiden/Previous
Last Name
Gorman
Address 1
4800 Barger Spc 59
Address 2
City
Eugene
Zip Code
97402
Phone
541-688-1331
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