2025 York
Registration #1222

Registration Summary

Registration Date: 07/17/2025

Source: online

Who will attend: Both

Attendee #1 First Name: Carl

Attendee #1 Last Name: Tallberg

Attendee #1 Phone: 203-410-6958

Attendee #1 Email: cnm624@yahoo.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Attendee #2 First Name: Mary

Attendee #2 Last Name: Tallberg

Attendee #2 Phone: 203-410-0862

Attendee #2 Email: cnm624@gmail.com

Attendee #2 Current Office Served:

Attendee #2 Last Office Served:

Home Club: Member at Large - Region 03

Region: Region 03

Big Red Numbers: 17624

Adults: 2

Youth: 0

Children: 0

Address

Street Address 1: 922 Edna St

Street Address 2:

City: Daytona Beach

State: Fl

Street Address 2: 32114

Street Address 2: United States

Guests
First Name Last Name Type
Options/Costs

Number of Rigs: 1

Options
Airstreams
1STJFYM25SJ575514

Amount Due: 0.00

Amount Paid: 725.00

Adults: 2 X $125.00Teen (13-17): 0 X $75.00
Child (4-12): 0 X $50.00Sites: 1 X $425.00
Parking: Friday August 22nd: 1 X $50

Reference #:

Payment Type: card

Approved: No

Received Promotion: No