On-Line Registration

SDRSP On-Line Convention Registration Form
Deadwood, May 5-6, 2020
The Lodge at Deadwood
100 Pine Crest. Deadwood, SD 57732
Go West Retirees!

Deadline for Rooms--April 30, 2020 Deadline for Registration--April 30
Call to reserve your rooms at The Lodge in Deadwood    Submit this form and check
605-584-4800                                                                                                                made payable to SDRSP
(Ask for a room with SDRSP--$100 plus tax)                                                                                      Mail checks to:
                                                                                                                                 Jacque Sly
                                                                                                                                 22560 Potter Road
                                                                                                                                 Rapid City, SD 57702

Please submit one form for each person attending

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Local *

Please choose your registration preferences *

Full Registration (Includes all sessions, meals,, and breaks--$50.00 each Individual Events only--$15.00 Dinner only--$25.00 Lunch only--$20.00

Choose your dinner option *

Chicken Marsala Top Sirloin Steak Pork Tenderloin

Bus Tour of Deadwood--May 5, 9:00 am $10.00 per person *

Yes, I wish to attend No, I do not plan on attending

Total Registration Fees I will send to Jacque *

Submit

SDRSP CONVENTION REGISTRATION

Please submit one form for each person attending

Contact South Dakota Retirement

605 773-3731