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  • Lotus Club Canada Membership Registration Form

    Lotus Club Canada Membership Registration Form

    Please complete this form to register as a new or renewing member.
  • Is the above information new?*
  • Format: (000) 000-0000.
  • Is the above information new?*
  • Is the above information new?*
  • Notice:

    Any information provided on this form is only viewable to Lotus Club Canada members in our "Club Roster" pages, in the "Members' Only" section of our web site. As well only the "City" part of your address, is viewable there under the heading "Hometown".

  • Would you be willing to be the subject of an article in our club newsletter?
  • Would you be interested in assisting with a club activity?
  • Is the above information new?
  • Dues Payable
  • Please pay dues by e-transfer to Neil Young at lotusclubcanada@gmail.com

    ***Please include your full name in the Notes/Message/Comments section of your ETransfer***

    or mail your cheque, made out to Lotus Club Canada, to

    Neil Young
    13213 Fourth Line,
    Acton, ON
    L7J 2M1

  • How did you pay?
  • If you are a new member, how did you find out about our club?
  • Should be Empty:

Please fill in the form below. Hitting the Submit button will

email your information to the Membership guy.

Or, you can send a cheque to cover the fees, if technology scares you.

Send payment to:

Lotus Club of Canada Attn: Neil Young

13213 Fourth Line,

Acton, ON

L7J 2M1

Cheques should be made payable to the Lotus Club of Canada

Please indicate the year of the membership being paid. You can pay for two years and make it easier for everyone.