Participant Info

Membership Number
3957
Salutation
First Name
Jennifer Collins
Middle/Maiden/Previous
Last Name
Kearns
Address 1
670 Rush Chapel Rd
Address 2
City
Adairsville
Zip Code
30103
Phone
706-232-4213
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