Mail order registration
You can skip this step by printing out the necessary forms here. Fill them one out for each individual registration and mail them to the address below.

Mail to:
Black Hills Chapter
3213 W. Main #140
Rapid City, SD 57702

Fax to:
1-614-768-1187


Drill 9 holes of golf or
Blast 100 rounds of shells?


The conference includes several great fund raisers. The Bob Martin Memorial Golf Scramble is a nine hole four man scramble. Fun for any beginner as well as any seasoned golfer. The Paul Meuhl Memorial Clay shoot is another event. These events also have great door prizes and are a lot of fun.

If you wish to participate in either of these events you will need to contact the individuals listed below to get signed up. You won’t need to pay until the day of the event.

Bob Martin Memorial Golf Scramble
Contact Tony Trouchon
ttrouchon@nelbro.com
307-680-0451

Paul Muehl Memorial Clay Shoot
Contact Paul Sterk
sterk@rushmore.com
405-850-2263



Your registration is almost complete

Complete the form below. Be sure to include all names of the individtuals you're regsitering. If you need to register more than 10 people click here or simply print out the form on the right and mail it in.

Business Name:


Primary Contact: First Name, Last Name


Primary contact email address:



Be sure to include all the names of people you be registring.
Email addresses are optional. However, they will only be used to help keep all members informed about the events schedule and options.

1. First Name, Last Name:


1. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour




2. First Name, Last Name:


2. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



3. First Name, Last Name:


3. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



4. First Name, Last Name:


4. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



5. First Name, Last Name:


5. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



6. First Name, Last Name:


6. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



7. First Name, Last Name:


7. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



8. First Name, Last Name:


8. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



9. First Name, Last Name:


9. Email Address:


Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour



10. First Name, Last Name:


10. Email Address:

Select the meals this indivudual will be attending

LUNCH: Wednesday, April 27
LUNCH: Thursday, April 28
BANQUET DINNER: Thursday, April 28
LUNCH: Friday, April 29

      (Select 1 activity)
Bob Martin Scholarship Golf Scramble
Paul Muehl Scholarship Clay Shoot
Crazy Horse Mountain Tour

Additional Comments: