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2022 Fryeburg
Registration #3853

Registration Summary

Registration Date: 12/01/2021

Source: online

Who will attend: Both

Attendee #1 First Name: Rick

Attendee #1 Last Name: Vanderwielen

Attendee #1 Phone: 317-797-5103

Attendee #1 Email: thebluerockranch@gmail.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Attendee #2 First Name: Nancy

Attendee #2 Last Name: Vanderwielen

Attendee #2 Phone: 317-797-5103

Attendee #2 Email: tagnrocky@gmail.com

Attendee #2 Current Office Served:

Attendee #2 Last Office Served:

Home Club: Central Indiana Airstream Club

Region: Region 05

Big Red Numbers: 05103

Adults: 2

Youth: 0

Children: 0

Address

Street Address 1: 5200 E. 216 St

Street Address 2:

City: Noblesville

State: IN

Street Address 2: 46062

Street Address 2: 46062

Guests
First Name Last Name Type
Options/Costs

Number of Rigs: 1

Options
Airstreams
DO NOT KNOW

Amount Due: 0.00

Amount Paid: 695.00

Adults: 2 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

This registration was cancelled

Date: 04/05/2022

Refund Amount: 645.00

Refund Type: card

Refund Date: 04/06/2022

Refund Notes: No reason given for cancellation.