Join Us

Ocean State Jeepsters

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We are always looking for new members from any state. To Join, please copy this form into an email and send it to, joinus@oceanstatejeepsters.com

Please read the By-laws before joining.

Name:

OSJ Forum Name:

DOB:

Address:

City, State, Zip:

Daytime Phone:

Evening Phone:

Cell Phone (optional)

Email:

Jeep Year and Model:

Modifications to Jeep:

Please Check Off If You Have the Following for Your Jeep
CB Radio _ Shovel _ Tow Strap _ Flashlight __ Fire Extinguisher __

First Aid Kit __ Tow Hooks __

How Did You Hear About Us?

Please list other club affiliations:

I wish to join Ocean State Jeepsters. I have read and do agree with the bylaws

and rules of this organization. Initial Here :

Are you an off-highway enthusiast? Y/N

How many years?

If Yes, What Level Of Off-Roading Are You Interested
Light ___ Moderate ___ Heavy ___ Extreme ___

Do you have any special skills or certifications that could be volunteered? :

EMT Training? YES / NO CPR Training? YES / NO

Leadership? YES / ON Wilderness Survival? YES / NO

GPS Skills? YES / NO Orienteering? YES / NO