Grower Interest Form

Thank you for your interest in the 2012 Yield Challenge! Please complete the form below to provide us with your contact information; you may also download and submit a hard copy of the form by clicking here. If you do have a team, please include your team information.

By submitting this form, you hereby certify the information provided on this entry form is accurate to the best of your knowledge and agree all Challenge information shall become the property of the Illinois Soybean Association and can be used at the discretion of sponsors.

Additionally, a harvest supervisor who will verify yield results must be identified by each team participating and authorized by the Illinois Soybean Association prior to harvest.

All growers' entry forms must be submitted by May 15, 2012.

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Required fields are marked with a

Contact Name
Farm/Organization
Street Address
City
State
Zip
Phone
Fax
Email
County of Field Location	Select... AdamsAlexanderBondBooneBrownBureauCalhounCarrollCassChampaignChristianClarkClayClintonColesCookCrawfordCumberlandDeKalbDeWittDouglasDuPageEdgarEdwardsEffinghamFayetteFordFranklinFultonGallatinGreeneGrundyHamiltonHancockHardinHendersonHenryIroquoisJacksonJasperJeffersonJerseyJo DaviessJohnsonKaneKankakeeKendallKnoxLa SalleLakeLawrenceLeeLivingstonLoganMaconMacoupinMadisonMarionMarshallMasonMassacMcDonoughMcHenryMcLeanMenardMercerMonroeMontgomeryMorganMoultrieOglePeoriaPerryPiattPikePopePulaskiPutnamRandolphRichlandRock IslandSalineSangamonSchuylerScottShelbySt. ClairStarkStephensonTazewellUnionVermilionWabashWarrenWashingtonWayneWhiteWhitesideWillWilliamsonWinnebagoWoodford
Have you participated in the Yield Challenge before?	Yes No
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