Membership Application

Scottish American Military Society, Ltd.

of Northern California

Admiral William A. Moffett Post 1921

 

Name:                                                                                                                

SAMS National membership No. (if applicable):                                                  

Address                                                                                          

City                                                        State                     Zip                          

Mailing Address (if different):                                                                          

Home Phone: (        )                         Work Phone:  (        )                               

Email:                                                                                                               

Spouse Name:                                                                                                  

Occupation (if retired, prior occupation)                                                             

Current Military Status:

ž  U. S. Military Veteran   ž U. S. Military Reserve or National Guard  ž  U. S. Military Active   ž British Commonwealth Military (active/reserve)

Post 1921 activities which you would like to participate in:ž  Tent Committee       ž    Membership & Recruiting    ž  Other?                               

ž  Color Guard            ž    Special events planning 

Skills and/or equipment you would be willing to volunteer to the Post:

I received this application from the following source:

ž  Tent (games location)                      ž  Member(name)                                

ž  Followup Mailing  ž Trans from other Post (#)                       ž Other:                  

         

Signature                                                           Date                                       

Post 1921 Dues: $15.00 and SAMS National Dues: $25.00 –  annually

Checks should be made payable to SAMS POST 1921.  Mail to:

Please your dues AND a copy of your military discharge form (DD214) or a copy of your military ID card (both sides).

Mr. Chuck Jamison, Post 1921

 9382 Blue Oak Dr.
Orangevale,. CA  95662  916-989-3953