Participant Info

Membership Number
4432
Salutation
Mrs
First Name
Clara Wojtowicz
Middle/Maiden/Previous
Last Name
Watson
Address 1
14265 Middlebelt Rd Apt 125
Address 2
City
Livonia
Zip Code
48154
Phone
Work Code #
1
Date of Birth
Date of Death
28-Jun
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