Participant Info

Membership Number
3428
Salutation
Mr
First Name
Eric Glen
Middle/Maiden/Previous
Last Name
Sanders
Address 1
1523 19th Street FNO 7
Address 2
City
Santa Monica
Zip Code
90404
Phone
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