Registration Date: 09/20/2025
Source: online
Who will attend: Primary Only
Attendee #1 First Name: Lynda Attendee #1 Last Name: Rozell Attendee #1 Phone: 7038616658 Attendee #1 Email: gsdove116@yahoo.com Attendee #1 Current Office Served: Attendee #1 Last Office Served: | |
|---|---|
Home Club: Four Corners Unit | Region: Region 11 |
| Big Red Numbers: 06298 |
|---|
Adults: 1
Youth: 0
Children: 0
Street Address 1: 411 Walnut Street #14250
Street Address 2:
City: Green Cove Springs
State: FL
Street Address 2: 32043
Street Address 2: United States
| First Name | Last Name | Type |
|---|
Number of Rigs: 1
| Indie Streamers Club (ISC) |
| 1B9GUXE21PJ240111 |
Amount Due: 0.00
Amount Paid: 550.00
| Adults: 1 X $125.00 | Teen (13-17): 0 X $75.00 |
|---|---|
| Child (4-12): 0 X $50.00 | Sites: 1 X $425.00 |
| Parking: Saturday August 22nd: 1 X $0 |
Reference #:
Payment Type: card
Approved: No
Received Promotion: No
Date: 10/29/2025
Refund Amount: 500.00
Refund Type: card
Refund Date: 11/03/2025
Refund Notes: Hi, It turns out I cannot make it to the 2026 International rally. Please refund my payment less the $50 cancellation fee. Thank you, Lynda Rozell BRN 06298