Participant Info

Membership Number
2965
Salutation
Ms
First Name
Victoria R
Middle/Maiden/Previous
Last Name
Gormley
Address 1
14100 N John Birch Lane
Address 2
City
Effingham
Zip Code
62401
Phone
217-868-5051
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