Florida Land Rover Club 

     Membership Application

Name: ________________________________________________________
Address: ________________________________________________________
City, State, Zip: ________________________________________________________
Phone: ________________________________________________________
Email: ________________________________________________________
Yahoo Club Name: ________________________________________________________
# Family Members: ________________________________________________________
Vehicle(s): 1.  ________________________________________________________
2. ________________________________________________________
3.  ________________________________________________________

Do you want this information published in the FLRC member directory?
YES ______  No ______ (if no, only your name will be printed)

Florida Land Rover Club membership dues:
The annual dues are $30.00 per family (nothing for charter members) and will be due by Feb 1st of each calendar year.  Your yearly dues include membership to the Florida Four Wheel Drive Association.

 
Make checks payable to Florida Land Rover Club and send to:

Florida Land Rover Club
C/o Sean Heisler
8710 Elmwood Lane
Tampa, FL 33615

back to FLRC site