The Mississippi Valley Chapter

The Society of Explosives Engineers

Mid-America Blasting Conference Information  Brochure 

Crazy Horse Memorial Golf Tournament Brochure

 

To register for the Conference and/or the Golf Tournament, simply fill out the form(s) and pay via PayPal. If desired, payment can be made by check to the address listed below. Conference fees are listed on the brochure.

 

 

You do not need a PayPal account to pay via credit card.

 

 

 

Mid-America Blasting Conference

This online payment option is available via PayPal.  There are processing fee(s) included in the price of each item.  These are the actual fee(s) charged by PayPal in order for us to provide this option.  For information  on these fees see: (PayPal Fees).

Regular Registration

Mid-America Blasting Conference related fees:

Number of People
Names:

Exhibitor’s Fee (Table and 1 Registration)

Number of People
Names:

Student Registration

Number of Tables with Registration
Name(s) of Exhibitor(s):

Exhibitor’s Fee Additional Table (No included registration)

Number of Additional Exhibitor Tables
Name(s) of Exhibitor(s):

Bronze Sponsorship

Number of Sponsorships
Name(s) of Sponsor(s):

Silver Sponsorship

Number of Sponsorships
Name(s) of Sponsor(s):

Note: See “Calendar” link to the left to view the last date to receive a refund prior to the conference.

Hotel Reservations: Tan-Tar-A Resort, Osage Beach, MO  use the Reservation Code:  BLST

 

Crazy Horse Memorial Golf Tournament related fees:

Single Player(s) Registration

Single Player(s) (Will be grouped into a team)
Name(s) of Player(s):

Team Registration

Number of Teams
Names of Players:

Hole Sponsor

Number of Tee Box Sponsorships
Names of Sponsor(s)

Silver Level Sponsor

Silver Sponsorship
Name of Sponsor

Gold Level Sponsor

Gold Sponsorship
Name of Sponsor

Crazy Horse Memorial Golf Tournament Sponsorship fees:

Gold Sponsorship

Number of Sponsorships
Name(s) of Sponsor(s):

Platinum Sponsorship

Number of Sponsorships
Name(s) of Sponsor(s):

Diamond Sponsorship

Number of Sponsorships
Name(s) of Sponsor(s):

Exhibitor Reception (Guest Only)

Number of Exhibitor Reception Guests
Name(s) of Guest(s):

Keynote Dinner Reception (Guest Only)

Number of Keynote Dinner Reception Guests
Name(s) of Guest(s):

Mulligan (1 per player limit)

Mulligan - 1 per player limit
Player(s) Name(s):

Skins (1 per team limit)

Skins - 1 per team limit
Team(s) Name(s):