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2022 Fryeburg
Registration #4642

Registration Summary

Registration Date: 03/07/2022

Source: mail

Who will attend: Primary Only

Attendee #1 First Name: Robert

Attendee #1 Last Name: Segebart

Attendee #1 Phone: 217-722-6108

Attendee #1 Email: rsegeb@gmail.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Home Club: Illinois Lincolnland Airstream Club

Region: Region 05

Big Red Numbers: 03419

Adults: 1

Youth: 0

Children: 0

Address

Street Address 1: 1405 Old Farm Rd

Street Address 2:

City: Champaign

State: IL

Street Address 2: 61821

Street Address 2:

Guests
First Name Last Name Type
Options/Costs

Number of Rigs: 1

Options
Airstreams

Amount Due: 0.00

Amount Paid: 565.00

Adults: 1 X $130.00Teen (13-17): 0 X $40.00
Child (4-12): 0 X $0.00Sites: 1 X $435.00
Early Registration Date: $0.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: Yes