Registration Date: 01/14/2025

Source: online

Who will attend: Both

Adults: 2

Youth: 0

Children: 0

Street Address 1: 213 Whispering Wind DR

Street Address 2:

City: GEORGETOWN

State: TX

Street Address 2: 78633

Street Address 2: United States

Number of Rigs: 1

Amount Due: 0.00

Amount Paid: 775.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: No

Registration Date: 01/14/2025

Source: online

Who will attend: Both

Adults: 2

Youth: 0

Children: 0

Street Address 1: N100W14650 Sunburst Trl

Street Address 2:

City: Germantown

State: Wisconsin

Street Address 2: 53022

Street Address 2: United States

Number of Rigs: 1

Amount Due: 0.00

Amount Paid: 775.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: No

Registration Date: 01/14/2025

Source: online

Who will attend: Both

Adults: 2

Youth: 0

Children: 0

Street Address 1: 45 Dennison Street

Street Address 2:

City: Oxford

State: MI

Street Address 2: 48371

Street Address 2: United States

Number of Rigs: 1

Amount Due: 0.00

Amount Paid: 675.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: No

Registration Date: 01/14/2025

Source: online

Who will attend: Both

Adults: 2

Youth: 0

Children: 0

Street Address 1: 5109 Clarence Gordon Junior Road

Street Address 2:

City: Plant City

State: FL

Street Address 2: 33567

Street Address 2: United States

Number of Rigs: 1

Amount Due: 0.00

Amount Paid: 675.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: No

Date: 06/09/2025

Refund Amount: 625.00

Refund Type: card

Refund Date: 06/11/2025

Refund Notes: Please cancel our attendance to the International Rally. Our registration information is as per below: Your Registration information Rally: York 2025 BRN: 22822 Who will be attending: Both Attendee #1 First Name: Gary Attendee #1 Last Name: Bergfield Attendee #1 Phone Number: 813-335-7110 Attendee #1 Email: gbergfield@gmail.com Attendee #2 First Name: Alex Attendee #2 Last Name: Swan Bergfield Attendee #2 Phone Number: 813-335-7070 Attendee #2 Email: asbergfield@gmail.com Street Address 1: 5109 Clarence Gordon Junior Road Street Address 2: City: Plant City State: FL Postal Code: 33567 Country: United States -- Please confirm cancellation,

Registration Date: 01/14/2025

Source: online

Who will attend: Both

Adults: 2

Youth: 0

Children: 0

Street Address 1: 6035 172-B St.

Street Address 2:

City: Surrey

State: BC

Street Address 2: V3S 6G6

Street Address 2: Canada

Number of Rigs: 1

Amount Due: 0.00

Amount Paid: 775.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: No

Registration Date: 01/14/2025

Source: online

Who will attend: Both

Adults: 2

Youth: 0

Children: 0

Street Address 1: 952 Church St

Street Address 2:

City: Decatur

State: GA

Street Address 2: 30030

Street Address 2: United States of America

Number of Rigs: 1

Amount Due: 0.00

Amount Paid: 775.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: No