New Member

IMPORTANT NOTE: This form is for NEW members only. If you are currently a member or were a past member, please click here to RENEW your membership.

Download the Membership Form

First Name

Last Name

Additional Member First Name (optional)

Additional Member Last Name (optional)

Address Line 1

Address Line 2

City

State/Province/Territory

Postal Code

Country

Home Phone

Mobile Phone

E-Mail

This is a Gift Membership From

Keep Address Private
Check this box to keep your address private. This will prevent you from being listed in the CLC Roster.

Keep Phone Numbers Private
Check this box to keep your phone number private. It will not be listed in the CLC Roster.

Who referred you?

Referring Member Number

Referring Member Name

Both the Cadillac & LaSalle Club (CLC) and Cornerstone Registration, Ltd. respect your privacy. We will not share your information with any third-party for commercial gain. However, the CLC may authorize the distribution of your name, address, and vehicle information for club-related activities and literature (such as local meets and the annual Membership Directory). At your option, you may elect to keep your phone number and/or address private. Note, however, that if you do elect to keep your address private, you will NOT be included in the annual Membership Directory.