Christian Crawlers 4x4 Club L.L.C
Membership Application
Please fill out all information


Name: _________________________________________________________________

Address: _______________________________________________________________

City, State, zip: __________________________________________________________

Home Phone: (____) ______-__________ Cell: (___)_______-____________

Emergency Phone: (____) ______-__________Name:					

E-mail: ________________________________________________________

D.O.B.: ____________________ Gender: ______________

Vehicle: Year, Make, Model_______________________________________________

Tire Size: ___________________

________________________________________________________________________
By signing below I fully understand that the Christian Crawlers 4x4 Club is not responsible 
for damage to myself, others, or vehicle(s) during club activities or events. I understand 
this is a Christian, family oriented club and will obey rules and act in an orderly manner.
I understand the point of this club is to be a ministry through a hobby we all enjoy. 
Signature: ________________________________Date: _______________		



Membership Dues:

Fees are $24 a year, when you break this down it is two dollars a month. Membership expires on 
December 31st and January 1st starts the New Year for membership.  Please make checks payable 
to “Christian Crawlers”. If you are paying in April, then you pay for months May – December, 
for $2 a month so your dues would be $18.  If you have any questions about this please contact us.


Christian Crawlers 4x4 Club
5410 Wyman Rd.
Fayetteville, AR 72701
christian_crawlers@yahoo.com
(479) 442-4108