Chrysler vehicles

Impromptu Runs

The Chrysler Owners Club of Queensland
PO Box 2151
Wellington Point QLD 4160



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Leaving From:   71
Erica street Cannon Hill
Qld 4170
On:   04/01/2020
At (Time):   2.00 PM
Travelling to:   Tamborine mountain
And returning:   10.00 to 11.00 pm
Make Model and Registration No of the vehicle being used for this run:    

Other Information:


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