Participant Info

Membership Number
2524
Salutation
Mrs
First Name
Betty M
Middle/Maiden/Previous
Last Name
Zuck
Address 1
Address 2
City
Roseburg
Zip Code
Phone
Work Code #
7
Date of Birth
Date of Death
5/1/2010
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