Club Checkout

New Membership

Please complete the following form to apply for club membership. You will need to create a membership in order to Reserve a spot on any of our hunting and fishing trips.

Membership Information

You have selected the Executive Rewards – Annual membership level.

The price for membership is $250.00 now.

Membership expires on December 15, 2024.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

More Information

Share the Love – Refer a friend to save 50% too! (Name & Phone)

Emergency Contact (Name & Phone)

Veteran?

Please enter your birthday (must be 21 or older)

Primary Interests

Hunting
Fishing
Camping
Other

If you selected Other, what interests you?

Where & what have you hunted?

Where & what have you fished?

What is on your bucket list?

How did you hear about the club?

Where you referred by anyone?

What intrigues you most about the club?

Have you read and do you agree to our Official Rules and Privacy Policy?

Profile Picture

Recommended size is 300px X 300px

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Shipping Address

Ship to the billing address used above.

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Postal Code *

Phone *

Country *

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If you prefer to pay by mail, please download the attached PDF and fill out by hand.

DOWNLOAD:

Sampson Outdoors – Membership_Form_2022