Participant Info

Membership Number
2235
Salutation
Ms
First Name
Christina C
Middle/Maiden/Previous
Last Name
Berk
Address 1
1870 SW Towanda Road
Address 2
City
Towanda
Zip Code
67144
Phone
316-536-2892
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