American Powerlifting Committee Elite Lifter Application Form

American Powerlifiting Committee
PO Box 40
Bogart, Ga. 30622
USA

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

Name of competition _______________________________________ Date of competition________________________

Referees:

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

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

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