Conrad Jupiters Canungra Classic 1999 Entry Form

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HGFA No:
Given Name, Surname:
Address:
City, Postcode, State:
Phone:
Fax:
Mobile:
Email:
Gender:
Date of Birth:
HG Club:
Glider Make, Model, Size:
Undersurface Colours:
Glider Number:
GPS Make and Model:
Rating:
Grade:
Glider Class:
Next of Kin (Name and Contact):