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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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