Participant Info

Membership Number
3969
Salutation
First Name
Jennie L
Middle/Maiden/Previous
Last Name
Smith
Address 1
Address 2
City
Sun City
Zip Code
Phone
Work Code #
2
Date of Birth
Date of Death
17-Jan
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