SAM Club and Delegate Submission Form

Clubs are required to submit this form every fall.

SAM Club and Delegate Update

Annual club information submitted to SAM. This form needs to be submitted every fall.

Name of person submitting form*
First Last
Your Email Address*
Enter Email Confirm Email
Club Information
Club Name*
Club Mailing Address*
Street Address City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Club Website

You must include https:// or http:// when submitting your website.
Club Meetings*
Club meeting information (location/time/date):
First Delegate (SAM Board of Directors)
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Second Delegate (SAM Board of Directors)
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Club President
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Vice President
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Secretary
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Treasurer
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Legislative Contact
Who can represent the club in regards to legislative issues?
Name
First Last
Address
Street Address City State ZIP Code
Phone
Email
Enter Email Confirm Email
Grooming Contract
Who submits your grooming contract to SAM?
Name
First Last
Address
Street Address City State ZIP Code
Phone
Email
Enter Email Confirm Email
Membership Contact
Who manages your membership list?
Name
First Last
Address
Street Address City State ZIP Code
Phone
Email
Enter Email Confirm Email
Trails and Map Contact
Who is your trail boss?
Name
First Last
Address
Street Address City State ZIP Code
Phone
Email
Enter Email Confirm Email
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SAM Club and Delegate Submission Form

SAM Club and Delegate Update

Club Information

First Delegate (SAM Board of Directors)

Second Delegate (SAM Board of Directors)

Club President

Vice President

Secretary

Treasurer

Legislative Contact

Grooming Contract

Membership Contact

Trails and Map Contact