Participant Info

Membership Number
2676
Salutation
Mrs
First Name
Melisa Price
Middle/Maiden/Previous
Last Name
Childs
Address 1
120 Jackson Street
Address 2
City
Slocomb
Zip Code
36375
Phone
334-886-7204
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