Apply to be a member today!  No need to wait for our next meeting to fill out an application.  Simply fill out the form below, pay your dues online and that’s it.

Members enjoy discounts on products and services from local businesses that support Rattlenake 4x4s.  This list will be available to you once you join.  If you are ready to join the fastest growing 4×4 club in the Pacific Northwest, fill out the form below.

Don’t forget to review the Bylaws, Terms of Use and Privacy Policy before hand, so you know what you’re agreeing to and check the box.

Membership Application

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- Step 1 of 2

About The Applicant

Applicant Name *

First

Last

Applicant Date of Birth *

Please enter your birthdate, i.e. 01/01/2000

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email *

Service To Others

Military Veteran? *

• Yes
• No

What Branch? *

• Air Force
• Army
• Coast Guard
• Marine
• Navy

First Responder? *

• Yes
• No

Which Field? *

• Fire
• Law
• Med

Experience

What is your 4x4 / Off-road experience level? *

• Novice - Pavement Only
• Minimal - Dirt Roads
• Intermediate - Local Trails
• Advanced - Big Name Trails
• Beyond - Boulders = Fun

Please indicate your experience level, if a couple and both drive you may select 2 levels.

Membership Years *

• 2016
• 2017
• 2018
• 2019
• 2020
• 2021
• 2022
• 2023
• 2024
• 2025
• 2026

How many years have you been a member?

Family

Family Status *

• Single
• Married
• Single w/Dependents
• Married w/Dependents

How Many Kids/Dependents? *

• 1
• 2
• 3
• 4
• 5

Spouse/Partner Name *

First

Last

Spouse/Partner Date of Birth *

Please enter your Spouse/Partner's birthdate, i.e. 01/01/2000

Spouse or Partner? *

• Spouse
• Partner

Kid/Dependent 1 Name *

First

Last

Address Acknowledgement Family

Kid/Dependent 1 DOB *

Please enter your Dependent/Kid's birthdate, i.e. 01/01/2000

Kid/Dependent 2 Name *

First

Last

Kid/Dependent 2 DOB *

Please enter your Dependent/Kid's birthdate, i.e. 01/01/2000

Kid/Dependent 3 Name *

First

Last

Kid/Dependent 3 DOB *

Please enter your Dependent/Kid's birthdate, i.e. 01/01/2000

Kid/Dependent 4 Name *

First

Last

Kid/Dependent 4 DOB *

Please enter your Dependent/Kid's birthdate, i.e. 01/01/2000

Kid/Dependent 5 Name *

First

Last

Kid/Dependent 5 DOB *

Please enter your Dependent/Kid's birthdate, i.e. 01/01/2000

Next

About Your Vehicle(s)

We can accommodate up to four vehicles...

How Many 4x4 Vehicles Do You Own? *

• 1
• 2
• 3
• 4

Vehicle 1 Year *

Vehicle 1 Make *

Ford, Chevy, Dodge, Jeep, International, etc.

Vehicle 1 Model *

Pinto, Vega, K-Car etc.

Vehicle 1 License Plate *

Please enter your license plate number

Vehicle 1 Special Equipment *

What cool parts do you have? Brag time...

Vehicle 2 Year *

Vehicle 2 Make *

Ford, Chevy, Dodge, Jeep, International, etc.

Vehicle 2 Model *

Pinto, Vega, K-Car etc.

Vehicle 2 License Plate *

Please enter your license plate number

Vehicle 2 Special Equipment *

What cool parts do you have? Brag time...

Vehicle 3 Year *

Vehicle 3 Make *

Ford, Chevy, Dodge, Jeep, International, etc.

Vehicle 3 Model *

Pinto, Vega, K-Car etc.

Vehicle 3 License Plate *

Please enter your license plate number

Vehicle 3 Special Equipment *

What cool parts do you have? Brag time...

Vehicle 4 Year *

Vehicle 4 Make *

Ford, Chevy, Dodge, Jeep, International, etc.

Vehicle 4 Model *

Pinto, Vega, K-Car etc.

Vehicle 4 License Plate *

Please enter your license plate number

Vehicle 4 Special Equipment *

What cool parts do you have? Brag time...

Membership Form Type *

• New
• Renewal
• Update Info

Acknowledgement *

• I/We Acknowledge

I have reviewed the club Bylaws, Privacy Policy & Terms of Use, and agree to always represent myself and the club positively. I also agree that participation is voluntary, and hereby waive the club and it's Board Members of any and all liabilities during my participation in any event. I also acknowledge acknowledge that annual dues are $63.00.

Signature *

Clear Signature

Please sign your form and then submit

Custom Captcha *

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Submit

Upon completion of the Membership Application, please pay your Dues. Our dues are based on the calendar year, so your membership expires on December 31st of each year, with a 30 day grace period. The club does however carry forward Dues paid between October and December to the new year.

In the past ten years we’ve struggled with membership renewals in January, so we’ve opted to create a subscription based membership dues that will automatically rebill you annually.

 Payment

If you are joining any time between October and January, use the following link (image) to start an annual subscription.

If you are joining any time between February and September, use the following link (image), you will be billed once and have the opportunity to start your subscription, the following year: