Participant Info

Membership Number
2725
Salutation
Ms
First Name
Kaitlin
Middle/Maiden/Previous
Last Name
Lane
Address 1
PO Box 337
Address 2
City
Noti
Zip Code
97461
Phone
541-935-3803
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