Participant Info

Membership Number
7523
Salutation
First Name
Dennis
Middle/Maiden/Previous
Last Name
Fasold
Address 1
3700 Babcock Lane #16
Address 2
City
Eugene
Zip Code
97401
Phone
541-343-4223
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