Participant Info

Membership Number
2492
Salutation
Mrs
First Name
Desiree Denise
Middle/Maiden/Previous
Last Name
Shaffer
Address 1
5822 Cotton Valley Drive
Address 2
City
Fayetteville
Zip Code
28314
Phone
910-670-8472
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