Application For Membership

Name: ___________________________________________

Address: _________________________________________

_________________________________________________

Phone: __________________ Cell: ____________________

E-Mail: __________________________________________

Vehicle(s): ________________________________________

 

* ____ I want my name/phone/E-Mail address number published to members only

 

I agree to follow the charter of Back Country 4X4 Club at all times. I understand that I MUST pass a membership vote by the members in order to become a member, and that my application fee is non refundable. I agree to adhere to the code of conduct at all times.

            (Print)              (Signature)

Name: _________________________________ Date: __________

Name: _________________________________ Date: __________

Name: _________________________________Date: __________

Name: _________________________________ Date: __________

 

Complete the above form; bring it to the next club meeting with a membership fee of 32 dollars (includes a decal and T-shirt).

The club meetings are every month ,time and place will be posted in up coming events .