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Allegedly Sam's Club Member Application
All applicants acknowledge that Supreme Leader Sam is the central figure of Sam’s Club. Membership is contingent upon respecting her leadership, guidance, and decisions in all club matters.
Memberships are life long commitments. However your membership may be revoked at any time for any reason.
Submitting this form binds you to these terms and conditions.
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* Indicates required question
Full Name. Including middle.
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
City of Residence
Your answer
Occupation
Your answer
References / Referring Member
Your answer
Number of years of friendship with Supreme Leader Sam
Your answer
Is Supreme Leader Sam pinned on your IMessage App?
Yes
No
Clear selection
Is Supreme Leader Sam on your Snapchat BFF list?
Yes
No
Clear selection
Have you consumed Marijuana in any form?
Yes
No
Clear selection
If yes, is your consumption a regular occurrence?
Yes
No
Clear selection
If yes to both, do you currently own a Penjamin or plan to own a Penjamin?
Yes
No
Clear selection
Have you cancelled plans on Supreme Leader Sam within 24hrs of your scheduled appointment within the past 6 months?
Yes
No
Maybe
Clear selection
Can you do a standing back flip on command? Sober.
Yes
No
Maybe
Clear selection
What secret talents do you offer the club?
Your answer
Why do you feel you should be considered for membership?
Your answer
Do you agree to uphold the Samstituion and pledge allegiance to flag, one Club under Sam?
*
Yes
No
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