10th Annual Soybean Leadership College
 January 5, 6, 7 2010

Hilton St. Louis at the Ballpark
One South Broadway
St. Louis, MO 63102
Phone: 314-421.1776

REGISTRATION FORM

Please fill out this form and submit on-line
Deadline is December 18, 2009

State President Summit,  January 5, 2010                                 10:00 a.m. to 8:30 p.
Membership Chair/Top Recruiter Session,  January 5, 2010       11:30 noon to 8:30 p.m.
                 Soybean Leadership College,  January 6 & 7, 2010                   7:00 a.m. (1/6) to 1:30 p.m. (1/7)

For more information contact
Julie Hawkins; American Soybean Association; 12125 Woodcrest Executive Drive, Suite 100; St. Louis, MO 63141
(Phone) 800-688-7692, ext 1322; (Fax) 314-576-2786; julieh@soy.org

First Name: Last Name:

Address:

City: State: Zip:

Phone:     Fax:  (Example: 314-576-5770)

Email:

Sponsoring State Association:

Events:  Please select the appropriate events you are attending State Leaders Summit and Soybean Leadership College Membership Chair/Top Recruiter Session and Soybean Leadership College Soybean Leadership College

Arrival Date:  Select Arrival Date January 4, 2010 January 5, 2010 January 6, 2010       Departure Date:  Select Departure Date January 5, 2010 January 6, 2010 January 7, 2010

Designate if you would like a smoking room otherwise non-smoking rooms will be reserved:     Non-Smoking Smoking

             American Soybean Association, 12125 Woodcrest Executive Dr, Ste 100, St. Louis, MO  63141