Please follow these instructions to print and send in your form:

DO NOT PRINT THIS PAGE - submitting this page will not register you for the event.

  1. Complete the registration form to the end, filling out all required fields
  2. You may choose to register another H.O.G. Member or Non-Member Guest by clicking the appropriate button after the first H.O.G. member information.
  3. Push "CREATE FORM"
  4. Wait for your Print Window to pop up THEN you can hit PRINT
  5. The mailing address appears on a COMPLETED form which you printed. Mail form and check to the address listed

PRICES INCLUDE ALL APPLICABLE TAXES.
REGISTRATIONS ARE NON REFUNDABLE AND NON TRANSFERABLE.
FIRST H.O.G. MEMBER INFORMATION
* Required Fields
H.O.G. Member
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Country:
*Phone:
Please format phone# like this: xxx-xxx-xxxx
Email:
*National H.O.G. number:
H.O.G. number is two letters followed by seven digits.
For example, US1234567
*Expiration Date:
Local H.O.G. Chapter:
(Optional)
If you'd like to register an additional H.O.G. Member or Non-Member Guest, please choose one of the options below and fill out the appropriate information.

       
REGISTRATION SUMMARY
Prices include all applicable taxes.
H.O.G. Members pre-registering - $30.00 each $
Non-Member Guests pre-registering - $30.00 each $
Children 6 years and under FREE
RALLY MEMORABILIA
Rally Shirt: Mens' Short Sleeve T-Shirt
Small - $15.00 $
Medium - $15.00 $
Large - $15.00 $
XL - $15.00 $
2XL - $15.00 $
3XL - $15.00 $
Rally T-Shirt: Mens' Long Sleeve T-Shirt
Small - $20.00 $
Medium - $20.00 $
Large - $20.00 $
XL - $20.00 $
2XL - $20.00 $
3XL - $20.00 $
Rally T-Shirt: Men's Premium Short Sleeve Henley
Small - $23.00 $
Medium - $23.00 $
Large - $23.00 $
XL - $23.00 $
2XL - $23.00 $
3XL - $23.00 $
State Rally Bandannas - $8.00 $
State Rally Patch - $6.00 $
Stainless Tumbler - $8.00 $
State Rally Hat - $15.00 $
Buy the set! (one shirt, one patch, and one tumbler OR hat), receive the $10.00 backpack and can cooler FREE
Free backpack and can cooler with one shirt, one patch, and one tumbler OR hat set(s)  
Deluxe Drawstring Backpack with State Rally Logo - $10.00 NOT PART OF SET $
Number attending the Hail the Bikers Kick Start Party on Thursday FREE
Number attending the Life Member Breakfast on Friday morning FREE
Saturday CHICKEN dinner on the USS Yorktown - $20.00 each $
Saturday BEEF dinner on the USS Yorktown - $20.00 each $
Total Amount Due
(Includes all applicable taxes)		 $ 
To complete your registration, click the Create Form button. Print and mail the resulting form. DO NOT PRINT THIS PAGE.