Membership Application
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Southern High Rollers 4x4 Club

Membership: Rob Hammett 281-795-5541 

20602 Cypresswood Meadows Dr., Spring, TX 77388

 

 MEMBERSHIP APPLICATION
(Submit payment with application, make payable to Southern High Rollers)
 

Name__________________________________________      Birthday (Month / Day Only) _____________

 

Spouse_________________________________________     Birthday (Month / Day Only) _____________

 

Address______________________________________________________________________________

 

City____________________________________         State__________         Zip_____________________

 

Phone_____________________________       E-Mail__________________________________________

 

4X4 Info – Year_________      Make_____________     Model_____________    License #______________

 

Referred by_______________________________      Other Clubs________________________________

 

Membership Annual Dues:      Family ($45.00) o                 Individual ($40.00) o     Associate ($22.00) o
(Associate Membership applies only to those living 75-miles outside of Houston, Beltway 8)

(Dues are due annually each July 31st.   2nd year dues are pro-rated for those joining after Dec. of the previous year.)

 

Membership Includes:

*    Subscription to 4x4 Low Down, the official monthly newsletter of the Southern High Rollers

*    Subscription to SHR’s club E-mail list used for sharing of information, tech, events & stories

Your e-mail can be added or removed from this list at your discretion

*    Family & Individual Members Receive Membership in the Southwest Four Wheel Drive Association

Including their quarterly newsletter 4 Wheel Drive Lines

*    Family & Individual Members Receive Membership in the United Four Wheel Drive Association

Including their twice a year newsletter United Voice

*    Club events, socials and parties

*    Discounts at participating 4x4 shops, auto parts stores and other programs.

*    Ability to purchase club paraphernalia (Hats, Shirts, Stickers, Patches, etc…)

*    Family & Individual Members Receive Full voting rights

Family Membership allows up to 2 individual votes for each motion / position voted upon.

Children and dependents are considered honorary members with no voting rights.

*    Family & Individual Members Eligibility to run for club offices

 

 

Release and Waiver of Liability

In consideration of being a club member, the undersigned for himself, his personal representatives, heirs, and next of kin, hereby releases the club Officers, Directors, Promoters, and Sponsors of all liability to the undersigned for any loss or damage on account of injury to the undersigned whether caused by negligent act or omission of releases or otherwise while the undersigned is for any purpose participating in club events.

 

In addition, the undersigned agrees to assume full responsibility and risk for any bodily injury, death, or property damage from releasee’s negligence or otherwise while the undersigned is participating in club events.

 

Date                              Member’s signature                                                   Print Name

 

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