Participant Info

Membership Number
3569
Salutation
Mrs
First Name
Carol J
Middle/Maiden/Previous
Last Name
Hines
Address 1
4563 Huntington Woods
Address 2
City
Wooster
Zip Code
44691
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