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Your Application for Joining CSA Auto Club
 
CSA Auto Club Membership

Fields marked with an asterisk (*) must be entered.
Member Information
First Name* 
Last Name* 
Street Address* 
City* 
Province* 
Postal Code* 
Telephone* 
CSA membership number* 
Email* 
 
Pricing
Prices include GST
1st Vehicle  $54.00
Additional Vehicles  $33.00
5th Wheel/Double Axle  $75.00
Recreational Vehicles  $87.00
Boat Trailers  $25.00
Note: Recreational Vehicles and 5th Wheel / Double Axle are considered 1st vehicle.
Vehicle Details
 
Vehicle 1
Type*   Make
 
Model   Year
 
Licence number   Province / State
 
Vehicle 2
Type   Make
 
Model   Year
 
Licence number   Province / State
 
Vehicle 3
Type   Make
 
Model   Year
 
Licence number   Province / State
 

Total  :