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:wglarki.s04985.us@samsclub.com 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______________________
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