20th April St Lucia deadlift competition
Date: 20 April 2019
Event Address: St Lucia community Hall
Contact Zane Ison at: isonzane047@gmail.com
Email address *
St. Lucia Deadlift
Name and Surname *
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Weight Class *
Age *
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Gender *
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Cellphone Number *
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Entry Fee R250
PLEASE PAY INTO THE FOLLOWING ACCOUNT:
Acc holder: Juanese

Bank: FNB Cheque account

Acc #: 62709531489

Branch: 250655

Reference: YOUR NAME

Email Proof to: juanese.leibbrandt@adcorpblu.com

A copy of your responses will be emailed to the address you provided.
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