Southern Off Road 4WD Association
Membership Application
Last Name: ___________________________First:___________________________
Address: ________________________________
City:
Phone Number (optional): (____)_____________
Email Address: ______________________________________
Membership type: (check one)
Driver: _____ Rider Only: _____
*If rider only, please indicate sponsoring member: ____________________________
Family Members included in membership: (specify spouse or child)
Name: ________________________________________
Name: ________________________________________
Name: ________________________________________
Name: ________________________________________
Name: ________________________________________
|
4WD Vehicle Information: Make: _________________________ Model:________________________________ Tire Size :________ Lift Size: _________ Locker? (circle one) Yes No
Tire Type: (circle one) Mud Terrain All Terrain TSL brand Other Additional Modifications: |
This application will not be considered for membership until
the club by-laws have been read and dues are paid. Dues must be paid for a valid
membership. Your 4x4(s) must have a
current inspection sticker and be covered by your vehicle insurance
policy.
Signature: _______________________________________ Date: _______________