Registration Date: 12/17/2021
Source: online
Who will attend: Primary Only
Attendee #1 First Name: Kim Attendee #1 Last Name: Cullen Attendee #1 Phone: (770) 241-7444 Attendee #1 Email: kim.cullen@ymail.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: | |
|---|---|
Home Club: South Florida Airstream Club | Region: Region 03 |
| Big Red Numbers: |
|---|
Adults: 1
Youth: 0
Children: 0
Street Address 1: 50 Northcrest Drive
Street Address 2:
City: Newnan
State: GA
Street Address 2: 30265
Street Address 2: United States
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| 1STJFYMZXNJ561449 |
Amount Due: 0.00
Amount Paid: 565.00
| Adults: 1 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