Participant Info

Membership Number
2415
Salutation
Miss
First Name
Teena Marie
Middle/Maiden/Previous
Last Name
Wallace
Address 1
2836 Highland Park Drive
Address 2
City
Stone Mountain
Zip Code
30087
Phone
678-469-7349
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