Elite Lifter Application Form

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

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

Name of competition _______________________________________ Date of competition________________________


-4th attempts can't be included in the Elite Total-

Name   D/O/B Gender Wt Class Squat Bench Press Deadlift Total