• Please complete the following information and click the Submit button at the bottom of the form.

• If you prefer to print and mail a hard copy, the form is available for download at the bottom of this page.

Name:	A value is required.
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City:	A value is required.
State:	A value is required.	Zip:	A value is required.Invalid format.

Phone#:

Home:

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Work:

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Primary Vehicle	Please Select... LR3 LR2 Range Rover Range Rover Sport Freelander Discovery II Defender Discovery Series Other Please select a valid item.

Club Activities of Interest:
	Outdoor Pursuits
	Off-Road Events
	Long Range Trips
	Off-Road Clinics
	Service/Maintenance Workshops

	Family Outings
	Other
	Do you want to help in the administration of the club?
	Pay Membership Dues via mailed personal check
	Pay membership dues via PayPal

If you are a current memeber wishing to renew your membership, please pay using the paypal tool below and/or contact Barbara Howell at pinkpantherette@sbcglobal.net.

If you would prefer to print a copy of the membership application to mail, please download a membership applcation below. The easiest way to download these files is to Right-click and choose Save As...

	HLRC Application - Microsoft Word format
	HLRC Application - Adobe Acrobat
If you do not have the free Acrobat Reader, the link below will take you to the Adobe site:

If you experience any trouble with the form, please email the Webmaster.