Attention!
Missouri State University Staff
Join or renew a Sam’s Club membership
and receive the following “Welcome Package”:
Joining or Renewing
Is Easy!

Free Cheese or Pepperoni Take n’ Bake Pizza*

Free Rotisserie Chicken*
(16”) Item # 229575/495359 Value- $6.99-$7.99.
(2.75 lbs), Item # 66846/613956 -Value - $4.98.
Mail the completed application
with a check for payment to:

$3.00 off a case of Member’s Mark Purified Water*

$4.00 off Red Seedless Grapes*
(3lb) Item # 72553 Value-check clubs for low member price.
(40 pack- 16.9 fl oz ea.) Value- $3.98.
*Limit one of each item per membership.
Sam’s Club 4985
Attention: Wendy Larkin
745 W. El Camino Alto Drive
Springfield MO 65810

$130.00 in Instant Savings for New or Renewing Members!
When you join as a Sam’s Club Plus member for only $100 per year you will enjoy the new
“Cash Rewards” as well as the early shopping hours and additional Plus only benefits!
OR
-OR-
Fre
For more information, or to set
an appointment, call
Wendy at 417-881-9685.
Your welcome package items will
be downloaded to your
membership card within 14 days
of signing up or renewing.
Join as a Sam’s Club Savings
Member
only $45 a year! If you
own, operate or manage a
SAM’S
CLUBfor
MeSSambership
Application
business, you can join as a Sam’s Club Business Member for $45 a year. All memberships
include two cardholders, one primary cardholder and one complimentary card for a
household member.
SAM’S CLUB MEMBERSHIP APPLICATION -Please Print
New____ or ____ renewing Existing membership
Membership Number for renewing members___________________________
Membership Information: (Check one)
___Sam’s Club Plus ($100) or ___Savings ($45)
Offer not available in club.
or ___Business ($45) up to 8 add-ons @ $45 each
Method of payment: Check_____ Cash_____Credit/Debit Card_____
Sam’s Club 4985
Wendy Larkin
Membership Coordinator
745 W. El Camino Alto Drive
Springfield MO 65810
Phone: (417)881-9685
Fax: (417) 881-9686
Email:[email protected]
Last name_______________________First name________________________
Address_________________________City___________State______Zip_____
Phone #_______________________E-mail address_______________________
DOB___________Driver’s license#/state_____________________Exp.______
Complimentary Cardholder Information
Last name_________________________First name______________________