| Name | Emily Dent |
|---|---|
| Contact Mobile Number | 0430-208-802 |
| Date of Birth | 07/06/2009 |
| Email hidden; Javascript is required. | |
| PCAQ Number | 3086971 |
| PIC Number | QDBB1977 |
| Club | Moggill |
| Nomination for: | Showjumping Onlly |
| SJ Horse | Finch Farm Just Chilled |
| Showjumping Class | Class 5 |
| 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 | Fiona |
| Helpers Mobile | 0430-208-802 |
| PCQ Club | Moggill |
| Payment Details | |
| SJ Nomination Fee | SJ Nomination Fee, Qty: 1, Price: $ 50.00 |
| Total | $ 50.00 |
| Credit Card | MasterCard XXXXXXXXXXXX5124 |
