Records Application Form

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

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GPA World Record____GPA American Record____GPA European Record____GPA Asian Record____

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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