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Cadillac & LaSalle Club

- Membership Application and Renewal

 
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This is your opportunity to become a member of, or renew your membership in, the Cadillac & LaSalle Club. We are the most exclusive, single marque organization that is devoted to the past, the present and your future.

Fill out the membership application and become a member today!

Student memberships are now available for $20 per year for students aged 16 to 21. Please contact our office for details.

This is a secure form. All information is encrypted for complete security.

If you don't wish to submit this application electronically, a printable version is available by clicking here. You can then fax or mail it to:

Cadillac & LaSalle Club, Inc.
P.O. Box 360835
Columbus, OH 43236-0835
Phone: (614) 478-4622
Fax: (614) 472-3222
E-mail: clcoffice@cadillaclasalleclub.org

Name (required field)

Address Line 1 (required field)

Address Line 2

City (required field)

State/Country (required field)

Zip (required field)

Home Phone - don't forget to include your Area Code

Work Phone - don't forget to include your Area Code

Fax - don't forget to include your Area Code

Email Address

Sponsored by (not necessary for membership)

If this is a renewal, please indicate your membership number here:

Spouse and children under 18 whom you wish to have listed on your membership:

Cadillac and LaSalle Cars Owned (NOT a requirement for membership):
Year Make Model Body Style
Year Make Model Body Style
Year Make Model Body Style
Year Make Model Body Style
Year Make Model Body Style

If you have more cars that you would like to tell us about, please send a separate email message to the office managers.

National Yearly Dues Remit in U.S. funds only to CLC address above:

USA (1st Class Mail) --- $50 for 1 year, $99 for $2 years, or $148 for 3 years.
USA (2nd Class Mail) --- $35 for 1 year, $69 for $2 years, or $103 for 3 years.
Canada and Mexico --- $55 for 1 year, $109 for $2 years, or $163 for 3 years.
All Other Countries --- $65 for 1 year, $129 for $2 years, or $193 for 3 years.
Life Member Domestic --- $750 (qualification after 10 consecutive years of paid CLC dues)
Life Member Foreign --- $1000  (qualification after 10 consecutive years of paid CLC dues)

Select membership length (not applicable with Life Membership):
1 year
2 years
3 years

Additional donation to CLC Museum and Research Center:
$5 $10 $20 Other:
(The CLC Museum and Research Center is classified by the IRS as a charitable organization under Internal Revenue Code Section 501(c)(3). Therefore, donations to it are tax-deductible as charitable contributions to the fullest extent permitted by law.)

Payment By:

MasterCard
Visa

Credit Card Number (16 digits only, no hyphens or spaces please):

Expiration Date:   

3-Digit security code on back of card:


This is a secure form. All information is encrypted for complete security.

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All rights reserved.
Last updated 2/10/2008