Registration Date: 11/29/2023
Source: online
Who will attend: Both
Attendee #1 First Name: Ken Attendee #1 Last Name: Shuck Attendee #1 Phone: 928-713-1382 Attendee #1 Email: kenshuck46@gmail.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: | Attendee #2 First Name: Jill Attendee #2 Last Name: Shuck Attendee #2 Phone: 928-713-7605 Attendee #2 Email: jillshuck@me.com Attendee #2 Current Office Served: Attendee #2 Last Office Served: Past Membership Chairman - Arizona Airstream Club |
|---|---|
Home Club: Arizona Airstream Club | Region: Region 11 |
| Big Red Numbers: 05254 |
|---|
Adults: 2
Youth: 0
Children: 0
Street Address 1: 705 N. Monarch Drive
Street Address 2:
City: Prescott
State: AZ
Street Address 2: 86305
Street Address 2:
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
Amount Due: 0.00
Amount Paid: 775.00
| 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: Wednesday October 2nd: 1 X $150 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: No
Registration Date: 11/29/2023
Source: online
Who will attend: Both
Attendee #1 First Name: Gary Attendee #1 Last Name: LaMothe Attendee #1 Phone: 518-584-2708 Attendee #1 Email: g0828@aol.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: 1st Vice President - Hudson-Mohawk New York Airstream Club | Attendee #2 First Name: Tina Attendee #2 Last Name: Occhipinti Attendee #2 Phone: 518-584-2708 Attendee #2 Email: occhipinti_03122@example.com Attendee #2 Current Office Served: Attendee #2 Last Office Served: |
|---|---|
Home Club: Hudson-Mohawk New York Airstream Club | Region: Region 02 |
| Big Red Numbers: 03122 |
|---|
Adults: 2
Youth: 0
Children: 0
Street Address 1: 101 Canty Road
Street Address 2:
City: Greenfield Center
State: NY
Street Address 2: 12833
Street Address 2: United States
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| Vintage Airstream Club (VAC) |
| INCOMPLETE - 03122 |
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
Registration Date: 11/29/2023
Source: online
Who will attend: Both
Attendee #1 First Name: Chip Attendee #1 Last Name: Bowden Attendee #1 Phone: 404-293-8591 Attendee #1 Email: chipnjeff@gmail.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: | Attendee #2 First Name: Jeffrey Attendee #2 Last Name: Haller Attendee #2 Phone: 770-264-2944 Attendee #2 Email: Haller_01299@example.com Attendee #2 Current Office Served: Attendee #2 Last Office Served: |
|---|---|
Home Club: Top of Georgia Airstream Club | Region: Region 03 |
| Big Red Numbers: |
|---|
Adults: 2
Youth: 0
Children: 0
Street Address 1: 745 E Morningside Drive NE
Street Address 2:
City: Atlanta
State: GA
Street Address 2: 30324
Street Address 2: USA
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| Pride Streamers Club (PSC) |
Amount Due: 0.00
Amount Paid: 775.00
| 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: Wednesday October 2nd: 1 X $150 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: No
Date: 06/14/2024
Refund Amount: 725.00
Refund Type: card
Refund Date: 06/14/2024
Refund Notes: Hello, Unfortunately due to work conflicts we will need to cancel our registration (below) for the 2024 rally. Please let me know if there is anything else I need to do to complete this cancelation. Thanks Chip Bowden and Jeff Haller