Global Powerlifting Alliance Records Application Form
Global Powerlifting Alliance
PO Box 40
Bogart, Ga. 30622
USA
If you order certificates please include $10.00 per certificate.
Name of competition _______________________________________
Date of
competition________________________
Referees:
| Name | D/O/B | Gender | Wt Class | Age Cat. | Sq, B, D, T | WR/AR | Old Record | New Record |