Participant Info

Membership Number
15
Salutation
Mrs
First Name
Amy E
Middle/Maiden/Previous
Last Name
Sturges
Address 1
PO BOX 22
Address 2
City
Pine Mtn Valley
Zip Code
31823
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