Pacific Northwest Cadillac LaSalle Club

Membership Application

Name:  
Address:  
City:   State or Province:  
Contact Phone:   Zip /Postal Code:  

Co-member Name (Spouse, Significant Other, etc.):

 

New Member or Renewal?:

  

e-mail address:

  

Enclose $80.00with this form for one year's membership, which includes $50.00 for National dues (depending on level of National membership chosen) and $30.00 for Regional dues. Membership is renewed annually.  Mail to:  CLC PNR Membership, 2649 W Boston St., Seattle, WA 98199-3505

List Cadillacs and/or LaSalles currently owned:
  Make Year Model # Body Style
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Updated 7/15/2010