Southern High Rollers
4x4 Club
Southern High Rollers
4x4 Club

SHR Membership Application Form

Family-$45.00

Individual-$40.00

Associate-$22.00

*Associate Membership applies only to those living a minimum of 75 miles outside of Houston Beltway 8

Dues are due annually, each July 31st.
Membership will not be processed without the payment of dues.
Immediately upon the submission of this form, you can opt to go to the PayPal website where you may pay your dues with your PayPal Account or pay with your favorite credit card.

Your Paid Membership Includes:
Automatic Subscription to SHR’s club e-mail list used for sharing of information, tech, events and stories.
Club events, socials and parties.
Discounts at participating 4x4 shops, auto parts stores and other programs.
Ability to purchase club paraphernalia (Hats, Shirts, Stickers, Patches, etc…)
Full voting rights for Family and Individual Members. Family Membership allows up to 2 individual votes for each motion or position voted upon. Children and dependents are considered honorary club members with no voting rights.
Eligibiliy to run for club office.

Release and Waiver of Liability

Your submission of this application to the club secretary and payment of club dues signifies you and/or your family's agreement to indemnify and hold the officers and members of the Southern High Rollers 4x4 club harmless from and against all liabilities, obligations, damages, penalties, claims, causes of action, costs, charges and expenses, including attorneys fees and costs, which may be imposed upon, incurred by, or asserted against the same by reason of any accident, injury, including death, or damage to any persons or property occurring on or about any club event or any portion thereof.



Fields marked with an * are required:

I have read and understand the above release and waiver of liability and by my selection of "yes" I accept its terms as written for me and/or my family.*
First Name*
Last Name*
Birthday
Spouse or SO First Name
Spouse or SO Last Name
Spouse or SO Birthday
Address*
City*
State*
Zip*
Phone*
EMail*
4 X 4 Year*
Make*
Model*
License Plate #
Referred By
Other Clubs