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602-258-4294 |
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Membership Application |
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Name: ____________________________________________________
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Address:
__________________________________________________
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City:
_________________________State: _____________Zip: ______ |
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Phone:
________________________Cell: _______________________ |
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E-Mail:
___________________________________________________ |
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Vehicle/Year:
______________________________________________
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___ I am
applying for “Individual Membership” and I am enclosing my annual membership fee
of $30.00. |
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___I am applying
for “Associate Membership” and I am enclosing my annual dues of $50.00. (For
commercial sponsors that support the association). |
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Please send me information about becoming a member of
ASA4WDC, Inc. by: |
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___ Forming a new club ___Joining an established club in my
region |
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I pledge to support the aims and objectives of the
Arizona State Association of 4 Wheel Drive Clubs, Inc. in the protection,
respect and enjoyment of our public domain lands and towards the betterment
of "Off-Highway Vehicle” recreation. |
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Signed:
_______________________________________________Date: ______ |
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Please make checks payable to: ASA4WDC and remit to
address above. |
