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2022 Fryeburg
Registration #4209

Registration Summary

Registration Date: 01/05/2022

Source: online

Who will attend: Both

Attendee #1 First Name: Serge

Attendee #1 Last Name: Poulin

Attendee #1 Phone: 819-990-0262

Attendee #1 Email: spoulin@shindustrie.com

Attendee #1 Current Office Served:

Attendee #1 Last Office Served:

Attendee #2 First Name: Hong

Attendee #2 Last Name: Chen

Attendee #2 Phone: 819-990-0262

Attendee #2 Email: hongpoulin@gmail.com

Attendee #2 Current Office Served:

Attendee #2 Last Office Served:

Home Club: Quebec Maritimes Canada Airstream Club

Region: Region 01

Big Red Numbers: 06358

Adults: 2

Youth: 0

Children: 0

Address

Street Address 1: 266 Rue du Golf

Street Address 2:

City: Mont-Saint-Hilaire

State: QC

Street Address 2: J3H 6C6

Street Address 2: Canada

Guests
First Name Last Name Type
Options/Costs

Number of Rigs: 2

Options
Airstreams
1STCMAD17MJ555331

Amount Due: 0.00

Amount Paid: 1130.00

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

Reference #:

Payment Type: card

Approved: No

Received Promotion: Yes