Club Members can use this form to notify the Club of Impromptu Use of vehicles registered under Concession Code 404. More details about this scheme.

Please note that as this is not a club event, it does not count towards log book points.

Your Name
Your Email
Mobile Number
Event Date  An Impromptu Run is to start and finish on the same day only.  You will need to submit an additional form if your run will span over more than one (1) date
Approximate Start Time     hh:mm
Approximate Finish Time     hh:mm
Starting Address
Finishing Address
Vehicle Registration  CAPITAL LETTERS/Numbers only with NO spaces
Declaration I declare I am a current financial member of the Holden Car Club of Western Australia Inc. and will abide by the DoT Code 404.

After clicking on "Send Message" wait for the notification "Thanks, your message was sent" to appear at the top of the screen, then print this page and carry it in the vehicle.

If you do not receive this notification, check that you have entered all details in correctly and then try again.

Club Membership Form HERE

Code 404 Historic License Procedure

C4C License Procedure

Register     Impromptu Run  

Our next Club Event is:

York Motor Show


Shannons Classic on Swan

Sunday 10 September, 2023


Club Email


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