Participant Info

Membership Number
2698
Salutation
Miss
First Name
Madison M
Middle/Maiden/Previous
Last Name
Standley
Address 1
1543 NW Randall Court
Address 2
City
Roseburg
Zip Code
97471
Phone
541-673-4745
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