Participant Info

Membership Number
3646
Salutation
First Name
Andrea
Middle/Maiden/Previous
Last Name
Godwin
Address 1
11521 Hwy 21 South
Address 2
City
Frisco City
Zip Code
36445
Phone
251-862-2587
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