Participant Info

Membership Number
4297
Salutation
Mr
First Name
Alan K
Middle/Maiden/Previous
Last Name
Langeteig
Address 1
W12130 Hillcrest
Address 2
City
Lodi
Zip Code
53555
Phone
608-592-3805
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