| Name | Ruby Page |
|---|---|
| Contact Mobile Number | 0404-377-219 |
| Date of Birth | 31/07/2012 |
| Email hidden; Javascript is required. | |
| PCAQ Number | 3089755 |
| PIC Number | QJBB0368 |
| Club | Brookfield |
| PCQ Club | Brookfield |
| Nomination for: | Showjumping Onlly |
| SJ Horse | Belaradah Foxtrot |
| Showjumping Class | Class 1 |
| Grading Card | TBA |
| 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 | Assist at Jumping on Sunday |
| Helpers Name | Mark Page |
| Helpers Mobile | 0488-058-237 |
| Payment Details | |
| SJ Nomination Fee | SJ Nomination Fee, Qty: 1, Price: $ 50.00 |
| Total | $ 50.00 |
| Credit Card | MasterCard XXXXXXXXXXXX2616 |
