WEB design by Vic Brincat

 Membership Application Instruction and Form

Membership  yearly fee - $35.00 Cdn.

This includes membership fee, yearly newsletter, seasonal updates, and free admission to all events excluding the Fall Show'n Shine. 

Please complete the  form below and submit. Once your application has been processed and approved, the membership coordinator will contact you.  If you do not wish to send your personal information via the Internet, complete the form, print it and fax it to Don Horton at 705-385-3443

For membership queries, please contact membership coordinator at

joerika@sympatico.ca

or you may also contact club President, Don Horton at:

705-385-3382

Primary Member

First Name:     Last Name:

Spouse/Partner

First Name:     Last Name:

Contact Information

Mailing Address:

City:     Province:     Postal Code:

Email:     Phone (home):     Phone  (Work):

Vehicle Information

Make (Cadillac/LaSalle):     Year:     Engine Size:

Model: Coupe Deville Sedan DeVille Fleetwood Brougham Fleetwood Eldordao Sevlle Touring Sedan (STS) Series Sixty Two Coupe Series Sixty Two Sedan Other Eldorado Biarritz Series Sixty Two Convertible Eldorado Brougham Calais Seville Eldorado Seville Eldorado Fleetwood Sixty Special Eldorado Tourring Coupe (ETC)      Exterior Color:     

Interior:     Top Color:

Options/Features/Special notes:

Insurance Company:     Policy Number:     

Expiry Date:

I am a member of the CLC   Yes