Participant Info

Membership Number
6037
Salutation
Mrs.
First Name
Debra
Middle/Maiden/Previous
A.
Last Name
Fairbanks
Address 1
10975 Hankerd Rd
Address 2
City
Pleasant Lake
Zip Code
49272
Phone
517-414-0272
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