Rough Rangers Off-Road
Club
Application
For Membership
First Name
____________________________________________________________
Last Name
____________________________________________________________
Date Of
Birth:
Month__________Day_____________Year_________Age_________
Board Name
(Nickname)
________________________________________________
Board Login
Name (if different then Nickname)
______________________________
Email
Address
_________________________________________________________
Street
Address _____________________________________ APT#
______________
City, State
____________________________________ Zip Code
________________
Home Phone
Number (_______)
__________________________________________
Primary
Vehicle Make ____________________ Model
_________________________
Year
___________ 2wd Or 4wd ___________ Color
___________________________
Tire Size
______________ Engine Size ____________ Total Lift
________________
[ ]
I have
submitted $25.00 for a membership as a 'Regular Member' for the year 2008
[ ] I am eighteen (18) years of age or older
I wish to
have the following email address (Optional):
____________________________@rrorc.com OR
_______________________________@rrorc.com
I understand that this membership fee is good for 2008 and is due for renewal by February 01, 2008.
I further
understand that I must be eighteen (18) years of age and abide by the
bylaws set forth by the RRORC which may be found at
www.rrorc.com/Bylaws.html.
Signature
_________________________________________ Date _______________
Pay Using Paypal
|
Submit this application with a check or money order made payable to: |
|
Rough Rangers Off-Road Club |
|
66 Eldridge Rd. |
|
Aurora, Ohio 44202 |