Membership Application Form

All member dues and fees can be paid by check or online with PayPal. Membership options are:

Basic Membership – for those who want to be involved in the SAMS Community but may not be interested in becoming Certified Shamanic Astrologers at this time. A membership packet is provided on request or with payment.

____ Bronze Basic Membership $75.
____ Silver Level Membership $100 (includes current events CD and a choice of two DVDs)
____ Gold Level Membership $125 (includes a choice of CDs and DVDs )

Certification Program Membership – for individuals with a serious intent to practice Shamanic Astrology or deepen their personal relationship with these mysteries. A certification packet is provided on request or with payment.

____ One time Application for Certification $100 (if application fee is paid at a different time than the membership dues).

____ If SAMS Membership & Certification fees are paid at the same time add $75 to your membership fee.

____ Subscribe to the monthly Shamanic Astrology Newsletter (Free)

Your Contact information:


Email __________________________________Phone________________


City, State, Zip_________________________________________________

Make check payable to SAMS and mail payment with this form to:

c/o Erik M Roth
10824 SE Oak St PMB 278
Milwaukie, OR 97222


Powered by WishList Member - Membership Software