Participant Info

Membership Number
2322
Salutation
Miss
First Name
Simone B
Middle/Maiden/Previous
Last Name
Brandt
Address 1
10 Falkirk Road
Address 2
City
Hawthorn Woods
Zip Code
60047
Phone
847-550-6097
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