Registration Date: 02/23/2022
Source: online
Who will attend: Both
Attendee #1 First Name: Jerry Attendee #1 Last Name: Crowder Attendee #1 Phone: 505-220-4349 Attendee #1 Email: silver.villa@aol.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: | Attendee #2 First Name: Kathryn Attendee #2 Last Name: Crowder Attendee #2 Phone: 505-220-5348 Attendee #2 Email: kate13608@aol.com Attendee #2 Current Office Served: Attendee #2 Last Office Served: |
|---|---|
Home Club: Four Corners Unit | Region: Region 11 |
| Big Red Numbers: 01472 |
|---|
Adults: 2
Youth: 0
Children: 0
Street Address 1: 13608 Deer Trail Place NE
Street Address 2:
City: Albuquerque
State: NM
Street Address 2: 87111
Street Address 2:
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| INCOMPLETE - 01472 |
Amount Due: 0.00
Amount Paid: 695.00
| Adults: 2 X $130.00 | Teen (13-17): 0 X $40.00 |
|---|---|
| Child (4-12): 0 X $0.00 | Sites: 1 X $435.00 |
| Early Registration Date: $0.00 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: Yes
Date: 05/18/2022
Refund Amount: 645.00
Refund Type: card
Refund Date: 05/19/2022
Refund Notes: Aging dog can not make the trip per vet.