Scottish American Military Society Heartland
Post 1854
Application
SAMS Post 1854 application. Please feel free to copy this to a Word file, fill in and mail to Ronald
Marx (address below) along with the national application. You will find a link to the SAMS site on the LINKS page. If you
have problems printing out the application, please refer to the e-mail address for Ron Marx on the Contact Us
Page and request a copy.
Membership Application
Name:____________________________________________________
SAMS
National membership Number (if applicable):_________________
Address:__________________________________________________
City______________________ State _________ Zip ______________
Mailing Address if different):___________________________________
Hm Phone: (___)_______________ Wk Phone (____)______________
E-mail:___________________________________________________
Spouse Name:_____________________________________________
Occupation (if retired, prior occupation)__________________________
Current Military Status:______________________________________
___US Military Veteran ___US Military
Reserve or National Guard
___US Military Active ___ British Commonwealth Military
(active/reserve)
Post 1854 activities which you would like to participate
in:
___Tent Committee ___Membership & Recruiting ___ Other?
___Color Guard ___Special events planning
Skills and/or equipment you would be willing to volunteer
to the Post:
________________________________________________________________________
I received this application from the following source:
___Tent (games location)_______________ Member (name)___________
___Followup Mailing ___Transcript from other Post (#)_________
___Other:_____________________________
Signature_____________________________________ Date_________
Post Dues: $15.00 SAMS National
Dues $25.00-annually
Checks should be made payable to SAMS
Post 1854. Please send your dues AND a copy of your military discharge form (DD214) or a copy of
your military ID card (both sides)
Mail to: Mr. Ronald Marx, Post 1854
1401 Meeker Ct.
Rose Hill, KS 67133
H. 316-776-9353
e-mail:heartland@samspost1854.com
U.S. Military Veteran U.S. Military Reserve or National Guard
U.S. Military Veteran U.S. Military Reserve or National Guard
