Participant Info

Membership Number
3389
Salutation
First Name
Jennifer Lundmark
Middle/Maiden/Previous
Last Name
Nelson
Address 1
21252 Clearwater Lake Road
Address 2
City
Clearbrook
Zip Code
56634
Phone
218-776-2078
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