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Registration Date: 07/15/2024
Source: online
Who will attend: Primary Only
Attendee #1 First Name: Corey
Attendee #1 Last Name: Maxwell
Attendee #1 Phone: 937-596-5211
Attendee #1 Email: blueberet@airstreamclub.org
Attendee #1 Current Office Served:
Attendee #1 Last Office Served:
Home Club: Member at Large - Region 00 - USE THIS TO JOIN
Region: Region 00
Adults: 1
Youth: 0
Children: 0
Street Address 1: PO Box 612
Street Address 2:
City: Jackson Center
State: Ohio
Street Address 2: 45334
Street Address 2: United States
Number of Rigs: 1
Amount Due: 0.00
Amount Paid: 500.00
Reference #:
Payment Type: card
Approved: No
Received Promotion: No