Participant Info

Membership Number
2511
Salutation
Miss
First Name
Christina
Middle/Maiden/Previous
Last Name
Nichols
Address 1
31310 Merry Merchant
Address 2
City
Magnolia
Zip Code
77354
Phone
936-689-2721
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