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Pacific Northwest Cadillac LaSalle Club |
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Membership Application |
| Name: | |||
| Address: | |||
| City: | State or Province: | ||
| Contact Phone: | Postal Code: | ||
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Co-member Name (Spouse, Significant Other, etc.): |
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New Member or Renewal?: |
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| 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. | |||
| List Cadillacs and/or LaSalles currently owned: | ||||
| Make | Year | Model # | Body Style | |
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