| Name | Remi O’Day |
|---|---|
| Contact Mobile Number | 0410-628-431 |
| Date of Birth | 24/02/2011 |
| Email hidden; Javascript is required. | |
| PCAQ Number | 9111740 |
| PIC Number | QEBB1476 |
| Club | Gumdale |
| Nomination for: | Showjumping Onlly |
| SJ Horse | Moorlands Couture |
| Showjumping Class | Class 4 |
| Grading Card | Yes |
| 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 | Angela Dowling |
| Helpers Mobile | 0410-628-431 |
| PCQ Club | Gumdale |
| Payment Details | |
| SJ Nomination Fee | SJ Nomination Fee, Qty: 1, Price: $ 50.00 |
| Total | $ 50.00 |
| Credit Card | Visa XXXXXXXXXXXX4624 |
