You do not have permission to view this form.
Data | User Value |
---|---|
Member No. | 2965 |
First Name | Leonidas |
Last Name | Mavrogenis |
leemavro@gmail.com | |
DOB | December 3, 1957 |
Gender | Male |
Date Joined | May 16, 2016 |
Membership Expires | December 31, 2019 |
Membership Type | Family |
Escorted Only | FALSE |
Primary Phone | 603-890-6678 |
Address | 11 Lancelot Ct Apt-17 |
City/Town | Salem |
State | NH |
Zip Code | 03079 |