| Name | Peisey Lang |
|---|---|
| Contact Mobile Number | 0411-141-766 |
| Date of Birth | 27/03/2011 |
| Email hidden; Javascript is required. | |
| PCAQ Number | Tbc |
| PIC Number | Tbc |
| Club | Redlands |
| Nomination for: | Showjumping Onlly |
| SJ Horse | Popcorn |
| Showjumping Class | Class 1 |
| Grading Card | Tbc |
| 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 | Kathryn lang |
| Helpers Mobile | 0411-141-765 |
| PCQ Club | Redlands |
| Payment Details | |
| SJ Nomination Fee | SJ Nomination Fee, Qty: 1, Price: $ 50.00 |
| Total | $ 50.00 |
| Credit Card | MasterCard XXXXXXXXXXXX8088 |
