Registration Date: 09/01/2021
Source: online
Who will attend: Both
Attendee #1 First Name: Kenny Attendee #1 Last Name: Kubischta Attendee #1 Phone: 701-495-4326 Attendee #1 Email: kenkubischta@gmail.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: President - North Dakota Peace Garden Unit | Attendee #2 First Name: Monica Attendee #2 Last Name: Kubischta Attendee #2 Phone: 701-495-4326 Attendee #2 Email: monicak_55@hotmail.com Attendee #2 Current Office Served: Membership Chair - Region 07, Membership Chairman - Minnesota Airstream Club Attendee #2 Last Office Served: President - North Dakota Peace Garden Unit |
|---|---|
Home Club: Minnesota Airstream Club | Region: Region 07 |
| Big Red Numbers: 05592 |
|---|
Adults: 2
Youth: 0
Children: 0
Street Address 1: 9120 Wentworth Drive
Street Address 2:
City: Bismarck
State: ND
Street Address 2: 58503
Street Address 2:
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| 1STCFAG26GJ535400 |
Amount Due: -20.00
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 |
| Lifetime Member Discount: $20.00 | Early Registration Date: $0.00 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: Yes