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:   BP North Bound Caboolture [BRUCE HWY]
On:   3rd May 2019
At (Time):   08:30am
Travelling to:   Gayndah Orange Festival
And returning:   6th May 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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