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News & Events

  • Club Meeting

    18 December 2023

    Club Monthly General Meeting

    Hall C

    View Calendar Info

  • CLUB PERMITS

    CLUB REGISTRATION

    Get your Mopar on the road

    It should be driven, not hidden

    CLICK FOR MORE INFO

  • NEW MEMBERS

    ONLINE MEMBERSHIP FORM

    Join the Charger Club now

    All Chrysler owners welcome

    CLICK TO SIGN UP

NEXT CLUB MEETING

18 December 2023


DATE TODAY

5 February 2012

Membership Form - New Members

Please fill in the form below to become a member of The Charger Club of Victoria

NEW MEMBERSHIP APPLICATION
NAME SURNAME
DISPLAY NAME / NICK NAME
DATE OF BIRTH

HOME ADDRESS
STREET
SUBURB
POST CODE STATE

POSTAL ADDRESS
PO BOX
STREET
SUBURB
POST CODE STATE

PHONE
MOBILE/ LANDLINE MOBILE/ LANDLINE

EMAIL
CONTACT EMAIL CONFIRM EMAIL

MY CHRYSLERS [Please list the Chryslers that you CURRENTLY own]
MAKE YEAR
MODEL ENGINE
OTHER COMMENTS COLOUR
ADD CHRYSLER NO CHRYSLER CURRENTLY

MEMBERSHIP TYPE