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2024 Sedalia
Registration #4134

Registration Summary

Registration Date: 09/06/2024

Source: online

Who will attend: Primary Only

Attendee #1 First Name: Anthony

Attendee #1 Last Name: Bollin

Attendee #1 Phone: 253-861-0507

Attendee #1 Email: shmoov@hotmail.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Home Club: Member at Large - Region 09

Region: Region 09

Big Red Numbers: 13910

Adults: 1

Youth: 0

Children: 0

Address

Street Address 1: 101 Rainbow Dr #2085

Street Address 2:

City: Livingston

State: TX

Street Address 2: 77399

Street Address 2: United States

Guests
First Name Last Name Type
Options/Costs

Number of Rigs: 1

Options
Airstreams
1STVMAF16RJ569718

Amount Due: 0.00

Amount Paid: 650.00

Adults: 1 X $125.00Teen (13-17): 0 X $75.00
Child (4-12): 0 X $50.00Sites: 1 X $375.00
Parking: Wednesday October 2nd: 1 X $150

Reference #:

Payment Type: card

Approved: No

Received Promotion: No