Become a Member

MJOC would love to welcome you as a new member, please complete the form below to start your membership application

Membership Type
*Full Name
Address
    *# & Street
    *Suburb
    *State
    *Postcode
*Home Phone
Business Phone
*Mobile
Fax No
*Email Address
Occupation
Date of Birth
*Type of Jeep
*Specification of Jeep
*Model of Jeep
*Build year
*Registration No.
*Colour
*Fuel Petrol     Diesel     LPG
*Transmission
Major Modifications
Please give details of any Four Wheel Drive Driver Training
Courses you have completed or other experience
* = Required Field

Your Privacy

Please note that the Melbourne Jeep Owners Club will only use your personal information for official club use and that the information provided here is strictly confidential and will not passed on to any third party, without your written permission.

In order to comply with the current Associations Incorporation Act and the Privacy requirements it is necessary that you complete the following question. Your personal contact details will only be communicated as directed by you below.

*I do / do not object to another club member, upon request, receiving my / our contact phone numbers or email address for club use.

How did you find out about the club ?

Once your initial application has been received, a full application will be posted out to you for completion and signing.
Please return with payment to the address printed on the application form.

On receipt of payment, a members pack will be sent out to you containing your full membership information.