Records Application Form

Global Powerlifting Alliance
International Powerlifting Organization
PO Box 40
Bogart, Ga. 30622
USA
Email: lbbaker@irondawg.com

If you order certificates please include $10.00 per certificate.
Please make check payable to Irondawg Power

For International FedEx, UPS, or other mail with tracking number please add $75.00

GPA___IPO___Name of competition___________________________________ Date of competition________________________

Referees:

   
   
   
Name   Country D/O/B Gender Wt Class Age Cat. Sq, B, D, T WR/AR/ER Old Record New Record
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   

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