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Broker's Details

Broker Name *

Street *

City *

Province *

Postal Code *

Months At Present Address *

Official Email Address *

Phone Number *

Fax *

Website *

Broker Contact Details

First Name *

Last Name *

Contact Phone Number *

Contact Email Address *

Position at Broker *

Online Advertiser Information

CLC will link car shoppers to your current online vehicle inventory.*

Account Information

Username *

Password *

Confirm Password *

Membership Selction

CLC Membership - $69.95 per month

CLC Membership Annually - $671.52 per year

CLC Membership Semi-Annually - $377.73 per 6 mths

Hours of Operation

Payment Information

Payment Method *

Additional Information

As a member of CLC your brokership will automatically qualify for preferred credit card processing rates.
Are you interested in a free no obligation quote?

Yes

Additional note

I understand that by submitting this form I am authorizing credit linx canada to create an account for the brokership I represent. I understand that I will be billed based on the package and options that I have selected. I also understand that my selected payment method will be used to collect my CLC membership fees as well as all future charges billed to my account. I further certify that I have the right to create this account on behalf of the brokership I represent.