Participant Info

Membership Number
3241
Salutation
First Name
Jennifer
Middle/Maiden/Previous
Last Name
Rubenstein
Address 1
2271 Talon Court
Address 2
City
Saint Albans
Zip Code
63073
Phone
636-458-5292
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