You do not have permission to view this form.
| Data | User Value |
|---|---|
| Member No. | 2567 |
| First Name | John |
| Last Name | DeFina |
| johnkat2@comcast.net | |
| DOB | May 29, 1973 |
| Gender | Male |
| Date Joined | February 16, 2015 |
| Membership Expires | December 31, 2019 |
| Membership Type | Family |
| Escorted Only | FALSE |
| Primary Phone | 978-273-5192 |
| Address | 13 Coventry Rd |
| City/Town | Atkinson |
| State | NH |
| Zip Code | 03811 |