| Name | Zoe Statham |
|---|---|
| Contact Mobile Number | 0437-704-080 |
| Date of Birth | 10/07/2013 |
| Email hidden; Javascript is required. | |
| PCAQ Number | 9101629 |
| PIC Number | QFCB1540 |
| Club | OTHER |
| Other Club Name | Burpengary pony club |
| PCQ Club | Burpengary |
| Nomination for: | Equitation only |
| JE Horse | Mirrabooka Peaches and Cream |
| Equitation Class | Class 1 |
| Is this a Thoroughbred off the Track(je) |
|
| Enter Details of your Helper for this event | Each rider MUST provide one person to either help setup on the day before, or to assist on the day. |
| Help | Setup on Saturday Morning |
| Helpers Name | Jeremy |
| Helpers Mobile | 0437-704-080 |
| Payment Details | |
| Equitation Nomination Fee | Equitation Nomination Fee, Qty: 1, Price: $ 50.00 |
| Total | $ 50.00 |
| Credit Card | MasterCard XXXXXXXXXXXX2152 |
