Conference Registration

* Required

Registrant Information
Title	First Name *	Last Name *
Address *
City *	State *	Postcode *
Country *
Postal Address
Phone Number *	Mobile Number *	Email Address *
Where did you hear about the Why Merino? Conference? *
Have you attended the Why Merino? Conference previously?* Yes No
Average Participant Age
Are you a Conference Sponsor? Yes No
Would you be interested in attending a BBQ/drinks evening at the Dubbo Showground on Tuesday evening, August 23? (There is a possible nominal charge) * Yes No
Number of BBQ/Drinks Attendees *

Name Tags
Name Tag 1	Property/Town/Business/Position
Name Tag 2	Property/Town/Business/Position
Name Tag 3	Property/Town/Business/Position
Name Tag 4	Property/Town/Business/Position

Date	Event	Number	Cost	Total
Tues 23rd Aug 2011	Why Merino? Conference - Day 1 Only		$66
Wed 24th Aug 2011	Why Merino? Conference - Day 2 Only		$66
Tues, Wed 23rd & 24th Aug 2011	Why Merino? Conference - Both Days		$132
Wed 24th Aug 2011	Cocktail Party - Sashing of the Rabobank Supreme Ram of Australia. Dress: Smart Casual.		$50
	Total Number of People Attending Conference		TOTAL

Payment Information
Payment Method * Credit Card Cheque Direct Debit
Name on Card *
Card Type *	Card Number *
Card Expiry *	CCV Number *
Cheque/Money Order Details Lawson Communications. Locked Bag 1001, Yeoval, NSW 2868
Direct Deposit Details BSB: 062 619 Account No: 1011 8417
Amount *
Enter Word Verification in box below *