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2024 Sedalia
Registration #3702

Registration Summary

Registration Date: 04/25/2024

Source: online

Who will attend: Primary Only

Attendee #1 First Name: Jeffrey

Attendee #1 Last Name: Clark

Attendee #1 Phone: 415-533-9947

Attendee #1 Email: jeffmartinclark@msn.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Home Club: Arizona Airstream Club

Region: Region 11

Big Red Numbers: 03532

Adults: 1

Youth: 0

Children: 0

Address

Street Address 1: 23622 North 84th Pl

Street Address 2:

City: Scottsdale

State: AZ

Street Address 2: 85255

Street Address 2: United States

Guests
First Name Last Name Type
Options/Costs

Number of Rigs: 1

Options
Airstreams
1SMG4DD26PJ208696

Amount Due: 0.00

Amount Paid: 550.00

Adults: 1 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

This registration was cancelled

Date: 07/29/2024

Refund Amount: 500.00

Refund Type: card

Refund Date: 07/29/2024

Refund Notes: Hello, Sadly I will not be able.to make it to Sedalia. Please refund my payment minus the 50$ fee as soon as possible to my original payment method Visa ending in 4945 Thank you for your prompt attention to this matter. Jeffrey Clark BRN 03532 Registration ID#71987 415-533-9947