WELCOME EVENTS NEWSLETTER MEMBERSHIP GALLERY LINKS CONTACTS

Membership Application / Renewal

Complete the form and then either submit via email or print and send via snail mail.

Applicant/Member Information
Name:
Address:
 
City:
Province:
Postal Code:
Home Phone:
Work Phone:
Email:
Lotus Cars Owned Information

1:
Year
Model
Serial #
Engine #
Condition*
2:
3:
4:
5:
  * Roadworthy, In Storage, Being Restored, or a Parts Car
Newsletter / Directory Information
Do you wish your name, telephone number, email address and type number to be published in the club membership roster?  Yes  No
 
Do you wish to receive the club newsletter ONLY in electronic format via email? (valid email address req'd.)  Yes  No
Payment Information
Membership Dues: $20.00/year
 
Make cheque payable to: E.C.L.C.
Mail to: Eastern Canada Lotus Club
4032 Stonecrest Road, Woodlawn, Ontario, K0A 3M0
CANADA
 

 
Copyright © 2001-2018 Eastern Canada Lotus Club. All Rights Reserved.