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Jeeps of East Texas
A family oriented club promoting responsible off road use of Jeep vehicles
Member Information Page
Name________________________Address___________________________________________
City__________________State___________________Zip Code__________________________
Home Phone____________Work Phone_______________Fax____________________________
Pager_________________E-mail___________________________________________________
Spouse’s Name__________________Children’s Names and Ages_________________________
______________________________________________________________________________
Jeep Model/Year______________________Engine______________Tranny_________________
TowHooks______Fire Extinguisher_______ Hi-lift Jack_____Recovery Strap_______________
Body Lift___________Suspension Lift________________Tire Size_______________________
Other Modifications______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you ever participated in any organized trail rides? If so please list most recent.__________
______________________________________________________________________________
Are you a member of any other Jeep or 4 wheel drive club? ____________________________
________________________________________________________________________
Membership dues are $25.00 per year. Please send
to: Jeeps of East Texas, Attn: Susan Shields, P.O. Box 1377,
Hallsville, TX 75650
For more information visit our website at WWW.JeepET.com or call Greg Walker at 903-939-2255 or Darrell Shields at 903-668-3779.
Jeeps of East Texas is a member of the Southwest Four Wheel Drive Association and is affiliated with Tread Lightly!
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