Registration Date: 09/13/2023
Source: online
Who will attend: Both
Attendee #1 First Name: Scott Attendee #1 Last Name: Butzen Attendee #1 Phone: 7706953800 Attendee #1 Email: wsbutzen@gmail.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: | Attendee #2 First Name: Cindy Attendee #2 Last Name: Butzen Attendee #2 Phone: 6782312961 Attendee #2 Email: cinzen914@gmail.com Attendee #2 Current Office Served: Attendee #2 Last Office Served: |
|---|---|
Home Club: Member at Large - Region 03 | Region: Region 03 |
| Big Red Numbers: 01217 |
|---|
Adults: 2
Youth: 0
Children: 0
Street Address 1: 4476 McLain Circle
Street Address 2:
City: Acworth
State: GA
Street Address 2: 30101
Street Address 2: United States
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| 1STJFYJ23JJ543602 |
Amount Due: 0.00
Amount Paid: 625.00
| Adults: 2 X $125.00 | Teen (13-17): 0 X $75.00 |
|---|---|
| Child (4-12): 0 X $50.00 | Sites: 1 X $375.00 |
| Parking: Saturday October 5th: 1 X $0 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: No
Date: 01/23/2024
Refund Amount: 575.00
Refund Type: card
Refund Date: 01/26/2024
Refund Notes: We need to cancel our registration (see attached) for the 2024 International Rally. Please let me know the refund amount and process the refund to the same credit card we used for the reservation. Please confirm. Thank you. Scott Butzen