Adventure-focused atmosphere rather than just commercial tourism
HJC - THERN WANDERERS
HIMACHAL JEEP CLUB (HJC) MEMBERSHIP APPLICATION
Initiation Membership = Rs. 10000/- Renewal Membership = Rs. 10000/- (Annual basis)
(Membership includes only 1 person and 1 jeep per application)
Fill out this form along with cheque, cash or e payment (GooglePay, Paytm). Or bring the form and payment to monthly meeting.
Member Information
Name:
Address:
Email ID:
Date of Birth:
Reference (Self/HJC):
Emergency Contact Information
Relationship:
Mobile Phone:
Allergies and Medical Conditions (List appropriately below)
Blood Group:
Any Allergy / Medical Condition:
Vehicle Description & Information
Registration Number of Vehicle:
HJC Membership includes:
Club Membership Card, Club Membership Windshield Decal and Apparels, Monthly Trail Rides Eve. & Activities, Jeep Event Calendar, Club Sponsored Events (Club cover some/all event costs), Participation in Charity/Social Events, Membership Directory and Discount Programs with HJC Affiliates.
Membership Release & Waiver of Liability & Indemnity Agreement
The undersign hereby agrees to indemnify and hold harmless the Himachal Jeep Club, its members of any loss, liability, damage, or cost they may incur while attending any club event/function.
This includes any outside event attended and/or sponsored by HJC, as well as any family members, friends, or guests brought to any event.
Member assumes sole responsibility for their actions as well as family members and guests brought to any event.
Member Signature Required(Write your name here for self attested)
Date
Club Directory Information Release: Please check one
Yes, Publish my contact information in the FIX directory and social link accountsNo, Thank you, Keep my contact information private.
Approved:
HJC#:
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