2024 Sedalia
Registration #4206

Registration Summary

Registration Date: 09/30/2024

Source: online

Who will attend: Both

Attendee #1 First Name: Susan

Attendee #1 Last Name: Anderson

Attendee #1 Phone: 402-306-1608

Attendee #1 Email: susanderson@nebraskamed.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Attendee #2 First Name: David

Attendee #2 Last Name: Anderson

Attendee #2 Phone: 402-510-3751

Attendee #2 Email: david@elc.omhcoxmail.com

Attendee #2 Current Office Served:

Attendee #2 Last Office Served:

Home Club: Nebraska Airstream Club

Region: Region 08

Big Red Numbers: 19620

Adults: 2

Youth: 0

Children: 0

Address

Street Address 1: 4805 N 107 ST

Street Address 2:

City: Omaha

State: NE

Street Address 2: 68134

Street Address 2: United States

Guests
First Name Last Name Type
Options/Costs

Number of Rigs: 1

Options
Classic Airstream Club (CAC)
Airstreams
19TSS2109

Amount Due: 0.00

Amount Paid: 675.00

Adults: 2 X $125.00Teen (13-17): 0 X $75.00
Child (4-12): 0 X $50.00Sites: 1 X $375.00
Parking: Friday October 4th: 1 X $50

Reference #:

Payment Type: card

Approved: No

Received Promotion: No