Registration Information

First Name *

Last Name *

Farm or Ranch Name

Address *

Address Line 2

City *

State *

Zip Code *

Telephone *

Email Address *

What are the Names of Those Attending? Please include last name if different from yours. *

The price for the banquet is $50 per person. The meal is a buffet featuring pork loin, chicken, salad bar and sides.

Would you like to donate an item to the silent auction? Let us know and we will contact you with details.

Payment

How many dinners are you reserving? *

One $50

Two $100

Three $150

Four $200

Five $250

If you prefer to pay by check hit the continue button below and you will get an email reply with all the information you put in.

Please makes checks payable to
International Yak Association

You may print out the email (or print the form now) and send it along with the check to:

IYAK Registrar
c/o Daniele Garner
PO Box 8
Fairplay, CO 80440