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ASA Membership Application and Renewal Form

Two memberships with one dues payment

When you become a member of ASA, you also become a member of your affiliated state soybean association—and that means even greater impact for your membership dollars, with influence and policy achievements at both the national and state level.  ASA members care about the future of their industry. They see the value of supporting an organization that has direct payback to their operations. We encourage you to make the decision to become a member of the American Soybean Association and your state soybean association. Your membership can help us continue our outstanding track record of success for soybean farmers.

Please provide the following information that is necessary to process your application:

 
1.)Select either join the association or renewing your membership:
    Yes, I want to join the American Soybean Association.
     Yes, I want to renew my American Soybean Association membership.
         Enter your Member Number 
 
2.) Select either a 1-year or a 3-year length of membership:
To apply for a one (1) year membership, select your
state/dues from this drop down list: 
Or, save when you apply for a three (3) year membership, by selecting your state/dues from this drop down list: 
 
3.) Select payment method:

I want to pay for my ASA membership with the following Credit Card. 

*We can ONLY accept MasterCard or VISA credit card account numbers



Card number: ---

Name on Card:

Card Expiration Date (Month / Year): /
 

 
4.) Tell us about you and your farming operation:
Your Name:
Spouse's Name:
Farm/Company Name:
Mailing Address:
Town/City:
County:
State:
Zip Code:
E-Mail Address:
Home Phone:
Work Phone:
Cell/Mobil Phone:
Facsimile:
Occupation:
Date of Birth:

December 9, 1987 should be entered as 12091987

Gender:

Soybean Acres:
Farm Acres:
ASA Recruiter Name:
Note: All fields required to process application except (Optional).
 

Do you raise livestock?
(Please mark those that apply)

Cattle   Dairy    Hogs    Poultry

 


Which issues are you most interested in?
(Please mark those that apply)

                        Biodiesel                             Trade Agreements 

                  
Farm Bill                              Conservation

                  
Transportation Infrastructure  Soybean Rust

                  
Biotechnology                      Food Aid

                  
International Marketing          Soy and Nutrition

                  
Other 
 


How did you hear about ASA?
(Please mark those that apply)

                        Recruiter       Recruiter in person    Recruiter by phone

    Magazine Ad      Radio Ad       Mailing     Internet/Website              

                        Event (please specify)

                  
Other (please specify)   
 

5.)Yes, I want to contribute an additional $25, $50,  $100 or other $ specifically for legislative issues.
6.) That's it! Review your input then push the "Submit Application" button to send your application information to ASA.  Thank you for supporting ASA. Allow up to four weeks for membership activation. 

ASA DUES ARE NOT TAX DEDUCTIBLE AS A CHARITABLE CONTRIBUTION FOR FEDERAL TAX PURPOSES, BUT MAY BE DEDUCTIBLE AS A BUSINESS EXPENSE.

* Alabama and South Carolina are dual soy/corn memberships.

 

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