Participant Info

Membership Number
3486
Salutation
First Name
Kristin Elizabeth
Middle/Maiden/Previous
Last Name
Heller
Address 1
1503 N Hayden Island Drive SP 240
Address 2
City
Portland
Zip Code
97217
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