Participant Info

Membership Number
4296
Salutation
Mr
First Name
James M
Middle/Maiden/Previous
Last Name
Langeteig
Address 1
4410 Hillcrest Dr
Address 2
City
Madison
Zip Code
53705
Phone
608-577-4519
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