| Name | Declan Fleming |
|---|---|
| Contact Mobile Number | 0403-734-574 |
| Date of Birth | 08/11/2009 |
| Email hidden; Javascript is required. | |
| PCAQ Number | 3084014 |
| PIC Number | QEBB1898 |
| Club | Moggill |
| PCQ Club | Moggill |
| Nomination for: | Showjumping Onlly |
| SJ Horse | Little Dude |
| Showjumping Class | Class 5 |
| Grading Card | 348895 |
| 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 | Shayna Smith |
| Helpers Mobile | 0403-734-574 |
| Payment Details | |
| SJ Nomination Fee | SJ Nomination Fee, Qty: 1, Price: $ 50.00 |
| Total | $ 50.00 |
| Credit Card | MasterCard XXXXXXXXXXXX4081 |
