| Name | Jorja Titman |
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| Contact Mobile Number | 0408-971-206 |
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| Date of Birth | 05/04/2011 |
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| Email | Email hidden; Javascript is required. |
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| PCAQ Number | 9114225 |
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| PIC Number | QHBB2562 |
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| Club | OTHER |
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| Other Club Name | Yandina |
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| Nomination for: | Showjumping Onlly |
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| SJ Horse | Lil Sax |
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| Showjumping Class | Class 2 |
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| Grading Card | 345826 |
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| 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. |
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| Help | Assist at Jumping on Sunday |
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| Helpers Name | Tanya Titman |
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| Helpers Mobile | 0408-971-206 |
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| PCQ Club | Yandina |
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| Payment Details | |
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| SJ Nomination Fee | SJ Nomination Fee, Qty: 1, Price: $ 50.00 |
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| Total | $ 50.00 |
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