Registration Date: 02/08/2022
Source: online
Who will attend: Both
Attendee #1 First Name: Walter Attendee #1 Last Name: Kowalczyk Attendee #1 Phone: 516-541-5418 Attendee #1 Email: catch22wgk@hotmail.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: | Attendee #2 First Name: Edna Attendee #2 Last Name: Kowalczyk Attendee #2 Phone: 516-695-4827 Attendee #2 Email: ednak112@msn.com Attendee #2 Current Office Served: Attendee #2 Last Office Served: |
|---|---|
Home Club: Metropolitan New York Airstream Club | Region: Region 02 |
| Big Red Numbers: |
|---|
Adults: 2
Youth: 0
Children: 0
Street Address 1: 29 Rhode Island Ave
Street Address 2:
City: Massapequa
State: NY
Street Address 2: 11758
Street Address 2: United States
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| 1STJ9YJ29BJ525291 |
Amount Due: 0.00
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 |
| Early Registration Date: $0.00 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: Yes