| Name: |
________________________________________________________ |
| Address: |
________________________________________________________ |
| City, State, Zip: |
________________________________________________________ |
| Phone: |
________________________________________________________ |
| Email: |
________________________________________________________ |
| Yahoo Club Name: |
________________________________________________________ |
| # Family Members: |
________________________________________________________ |
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| Vehicle(s): 1. |
________________________________________________________ |
| 2. |
________________________________________________________ |
| 3. |
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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.
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Make
checks payable to Florida Land Rover Club and send to:
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Florida Land Rover Club
C/o Sean Heisler
8710 Elmwood Lane
Tampa, FL 33615
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