Participant Info

Membership Number
1409
Salutation
Mrs
First Name
Rebekah Black
Middle/Maiden/Previous
Last Name
Burns
Address 1
828 Maple
Address 2
City
Yukon
Zip Code
73099
Phone
405-354-2997
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