Participant Info

Membership Number
3618
Salutation
First Name
Kayleen Louise
Middle/Maiden/Previous
Last Name
Sloboden
Address 1
1722 8th Avenue SW
Address 2
City
Puyallup
Zip Code
98371
Phone
253-770-1599
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