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118570834_3073338629443470_8031705891770

IPSWICH & DISTRICT POULTRY CLUB INC

MEMBERSHIP

First Name

Email Address

Phone

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BANK ACCOUNT DETAILS:
Name: Ipswich & District Poultry Club
BSB: 633 000 ACC: 171 940 760
Reference the payment with YOUR EXHIBITOR NAME

Last Name

Address

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Receipt Number of Netbank Transfer

Breeds Of Poultry/Waterfowl:

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