Participant Info

Membership Number
3821
Salutation
Mr
First Name
Ryan Taylor
Middle/Maiden/Previous
Last Name
Hegg
Address 1
39 Decatur St Apt 1
Address 2
City
Brooklyn
Zip Code
11216
Phone
917-447-5905
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