2024 Sedalia
Registration #3660

Registration Summary

Registration Date: 04/07/2024

Source: online

Who will attend: Both

Attendee #1 First Name: Chris

Attendee #1 Last Name: Modly

Attendee #1 Phone: 540-219-6454

Attendee #1 Email: chris.modly@gmail.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Attendee #2 First Name: Lori

Attendee #2 Last Name: Modly

Attendee #2 Phone: 540-219-6477

Attendee #2 Email: modlypnp@gmail.com

Attendee #2 Current Office Served: Newsletter Editor - Top of Georgia Airstream Club

Attendee #2 Last Office Served:

Home Club: Top of Georgia Airstream Club

Region: Region 03

Big Red Numbers: 09874

Adults: 2

Youth: 0

Children: 1

Address

Street Address 1: 2420 Millwater Xing

Street Address 2:

City: Dacula

State: GA

Street Address 2: 30019

Street Address 2: United States

Guests
First Name Last Name Type
Adison Modly child
Options/Costs

Number of Rigs: 1

Options
Grapes and Grains Club (GGC)
Airstreams
1STC9YP23RJ571130

Amount Due: 0.00

Amount Paid: 775.00

Adults: 2 X $125.00Teen (13-17): 0 X $75.00
Child (4-12): 1 X $50.00Sites: 1 X $375.00
Parking: Thursday October 3rd: 1 X $100

Reference #:

Payment Type: card

Approved: No

Received Promotion: No