| Name | Blair Burke |
|---|---|
| Contact Mobile Number | 0401-028-777 |
| Date of Birth | 28/01/2014 |
| Email hidden; Javascript is required. | |
| PCAQ Number | 3091581 |
| PIC Number | QKMY1608 |
| Club | OTHER |
| Other Club Name | Caboolture |
| Nomination for: | Showjumping Onlly |
| SJ Horse | Super Trooper |
| Showjumping Class | Class 1 |
| Grading Card | 336726 |
| 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 | Jarrod |
| Helpers Mobile | 0422-288-407 |
| PCQ Club | Caboolture |
| Payment Details | |
| SJ Nomination Fee | SJ Nomination Fee, Qty: 1, Price: $ 50.00 |
| Total | $ 50.00 |
| Credit Card | MasterCard XXXXXXXXXXXX2481 |
