Post by twistedxj on May 23, 2006 13:21:54 GMT -5
Offroad Addicts 4x4 Club
C/O Marla Watson
2500 SW Kansas Avenue
Topeka, Kansas 66611
Phone: 785-232-7000
MEMBER INFORMATION SHEET
NAME: ______________________________________________
SPOUSE: ______________________________CHILDREN: __________________
ADDRESS: ____________________________________________
CITY: ___________________________ STATE:________ ZIP CODE: _________
PHONE NUMBER: ______-______-__________ EMAIL: ___________________
VEHICLE YEAR: ________________ MODEL______________________________
SPECIAL EQUIP: WINCH ___ LIFTED ___ TOW POINTS (FT) ____ (R)____
CB ___ ROLL BARS (FT) ___ (R) ___ SEAT BELTS ____
FIRE EXT. ____ LOCKERS (FT) ____ (R) ____ TIRE SIZE ____
What type of activities would you like to see our Club conduct or get involved with:__________________________________________________________________________________________________________________________________________
How or who referred you to our Club:______________________________________
I understand that off-road vehicle operation can be hazardous, and accidents can occur which could result in either personal injury and or vehicle damage. I hereby agree to hold harmless all Officers, Representatives and Agents of the Offroad Addict 4x4 Club and acknowledge that I accept all risks involved in participation in activities sponsored by the Offroad Addicts 4x4 Club.
SIGNATURE: _____________________________________ DATE: ___________
If under 18 years of age, this form must also be signed by legal parent or guardian:
PARENT/GAURDIAN: ____________________________ DATE: ____________
ADDRESS & TELEPHONE No. ________________________________________
Club dues are $25.00 a year due on May 31st. Dues are pro-rated depending on the month you join.
Just Highlight Text And Press CRTL + C, Then Go To Word Perfect And Press CRTL + V And Fill It Out. THen Bring It To The Next Meeting
C/O Marla Watson
2500 SW Kansas Avenue
Topeka, Kansas 66611
Phone: 785-232-7000
MEMBER INFORMATION SHEET
NAME: ______________________________________________
SPOUSE: ______________________________CHILDREN: __________________
ADDRESS: ____________________________________________
CITY: ___________________________ STATE:________ ZIP CODE: _________
PHONE NUMBER: ______-______-__________ EMAIL: ___________________
VEHICLE YEAR: ________________ MODEL______________________________
SPECIAL EQUIP: WINCH ___ LIFTED ___ TOW POINTS (FT) ____ (R)____
CB ___ ROLL BARS (FT) ___ (R) ___ SEAT BELTS ____
FIRE EXT. ____ LOCKERS (FT) ____ (R) ____ TIRE SIZE ____
What type of activities would you like to see our Club conduct or get involved with:__________________________________________________________________________________________________________________________________________
How or who referred you to our Club:______________________________________
I understand that off-road vehicle operation can be hazardous, and accidents can occur which could result in either personal injury and or vehicle damage. I hereby agree to hold harmless all Officers, Representatives and Agents of the Offroad Addict 4x4 Club and acknowledge that I accept all risks involved in participation in activities sponsored by the Offroad Addicts 4x4 Club.
SIGNATURE: _____________________________________ DATE: ___________
If under 18 years of age, this form must also be signed by legal parent or guardian:
PARENT/GAURDIAN: ____________________________ DATE: ____________
ADDRESS & TELEPHONE No. ________________________________________
Club dues are $25.00 a year due on May 31st. Dues are pro-rated depending on the month you join.
Just Highlight Text And Press CRTL + C, Then Go To Word Perfect And Press CRTL + V And Fill It Out. THen Bring It To The Next Meeting