Participant Info

Membership Number
3272
Salutation
Mr
First Name
Shannon Wayne
Middle/Maiden/Previous
Last Name
Ames
Address 1
37481 Cole Creek
Address 2
City
Murrieta
Zip Code
92562
Phone
760-512-1627
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