Participant Info

Membership Number
4913
Salutation
Mrs
First Name
Lisa Ann
Middle/Maiden/Previous
Last Name
Gunnell
Address 1
7 Brenna Drive
Address 2
City
Wichita Falls
Zip Code
76302
Phone
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