Participant Info

Membership Number
2446
Salutation
Mrs
First Name
Diane
Middle/Maiden/Previous
Last Name
Nowak
Address 1
14238 Hillsdale Drive
Address 2
City
Sterling Heights
Zip Code
48313
Phone
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