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2022 Fryeburg
Registration #4005

Registration Summary

Registration Date: 12/13/2021

Source: online

Who will attend: Both

Attendee #1 First Name: Dam

Attendee #1 Last Name: Nguyen

Attendee #1 Phone: 5083447551

Attendee #1 Email: mmznguyen@gmail.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Attendee #2 First Name: David

Attendee #2 Last Name: Chisholm

Attendee #2 Phone: 774-289-9660

Attendee #2 Email: mrdmc1@gmail.com

Attendee #2 Current Office Served:

Attendee #2 Last Office Served:

Home Club: Northeast Mountaineers Airstream Club

Region: Region 01

Big Red Numbers: 03313

Adults: 2

Youth: 0

Children: 1

Address

Street Address 1: 265 Main St

Street Address 2: #121

City: Sturbridge

State: MA

Street Address 2: 01566

Street Address 2: United States

Guests
First Name Last Name Type
Alexander Chisholm child
Options/Costs

Number of Rigs: 1

Options
Airstreams
1STVRTF12KJ548609

Amount Due: 0.00

Amount Paid: 695.00

Adults: 2 X $130.00Teen (13-17): 0 X $40.00
Child (4-12): 1 X $0.00Sites: 1 X $435.00
Early Registration Date: $0.00

Reference #:

Payment Type: card

Approved: No

Received Promotion: Yes