Participant Info

Membership Number
2558
Salutation
Mrs
First Name
Kelly Eubank
Middle/Maiden/Previous
Last Name
Nupp
Address 1
3022 Midvale Road NW
Address 2
City
Canton
Zip Code
44718
Phone
330-492-2565
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