Chrysler vehicles

Impromptu Runs

The Chrysler Owners Club of Queensland
PO Box 2151
Wellington Point QLD 4160
secretary@chryslerownersclubqld.com

 

IMPROMPTU DETAILS

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Leaving From:   Leichhardt ***this is a test, refer Mick D***
On:   30/11/2019
At (Time):   9:00am sharp
Travelling to:   Inverell NSW
And returning:   02/12/2019
Make Model and Registration No of the vehicle being used for this run:    

Other Information:

{fulldetails}

I declare that I am a current financial member of the Chrysler Owners Club of Qld and I will abide by the Qld Government Special Interest Vehicle scheme guide.
Signature Date

 

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