Participant Info

Membership Number
4567
Salutation
Mrs
First Name
Ann Schulze
Middle/Maiden/Previous
Last Name
Newman
Address 1
21110 Pioneer Way
Address 2
City
Edmonds
Zip Code
98026
Phone
425-774-0572
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