San Antonio JEEP Exclusive Membership Application
Date_______________
Name(s)___________________________________________________________________
Address_____________________________City_______________________Zip__________
Home
Phone_________________________Work
Phone______________________________
E-Mail
Address______________________________________________________________
Birth
date(s)________________________Anniversary________________________________
Year
and Model of
Jeep_______________________________________________________
Briefly
describe your off-road experience
level:_______________________________________ __________________________________________________________________________ __________________________________________________________________________
Have
you ever been a member of another Jeep or off-road
club?__________________________
If yes, which one
(optional)______________________________________________________
Would
you consider holding a club officer position or be willing to serve on one
of the
club committees?_________________________________________________________________
Do
you have any mechanical
experience?____________________________________________
If so,
would you be willing to help out other club members teach a class on
4-wheel
drive mechanics?___________________________________________________________________
Do
you have any experience or are you certified in any kind of emergency
medical care, first aid, or disaster relief
skills?_______________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
Bring
completed membership application with you to the next club meeting or
mail application and check for $30 to:
San Antonio Jeep Exclusive P.O. Box 791661 San
Antonio, Texas 78279
Copyright © 2008
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