Were you referred to Better Choices by your Landmark reseller? Yes No

Salesperson:		Store Name:
Store Address:		Town:
State:		Postcode:

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First name:		Surname:
Property name:
Address:
Postal Address:
Town:		State:	<None Specified>ACTNSWNTQLDSAVICWATAS
Postcode:		Phone:
Email:

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I declare I have used Tri-Solfen for pain relief on all mulesed lambs.
Months lambs were treated:	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
Number of lambs treated:
Number of ewes mated:
Details of supplying veterinarian:
I declare that either all or a portion of my lambs do not require mulesing.
Number of lambs mulesed:
Number of lambs unmulesed:

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I intend to market my wool under the Better Choices brand.
Wool brand:
No. of Adult ewes:		Estimated number of bales
No. of Ewe Hoggets:		Estimated number of bales
No. of Wethers:		Estimated number of bales
Wool broker:

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I declare that the information I have provided is true and correct.

I have read and understood the Better Choices industry guidelines.

Date

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