Date: 04/20/2022
Refund Amount: 645.00
Refund Type: card
Refund Date: 04/26/2022
Refund Notes: Latha cancer dx.
Registration Date: 08/20/2021
Source: online
Who will attend: Both
Attendee #1 First Name: Robert Attendee #1 Last Name: Nickel Attendee #1 Phone: 703-282-0349 Attendee #1 Email: bob@nickeladventures.com Attendee #1 Current Office Served: Past President - Northern Virginia Airstream Club Attendee #1 Last Office Served: President - Northern Virginia Airstream Club | Attendee #2 First Name: Wendy Attendee #2 Last Name: Nickel Attendee #2 Phone: 310-500-6967 Attendee #2 Email: wjnickel05@gmail.com Attendee #2 Current Office Served: Attendee #2 Last Office Served: |
|---|---|
Home Club: Northern Virginia Airstream Club | Region: Region 03 |
| Big Red Numbers: 11527 |
|---|
Adults: 2
Youth: 0
Children: 1
Street Address 1: 6130 Manchester Park Circle
Street Address 2:
City: Alexandria
State: VA
Street Address 2: 22310
Street Address 2:
| First Name | Last Name | Type |
|---|---|---|
| Jacob | Nickel | child |
Number of Rigs: 1
Amount Due: 0.00
Amount Paid: 695.00
| Adults: 2 X $130.00 | Teen (13-17): 0 X $40.00 |
|---|---|
| Child (4-12): 1 X $0.00 | Sites: 1 X $435.00 |
| Early Registration Date: $0.00 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: Yes