H.O.G. Rally - Registration

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.

Complete the registration form to the end, filling out all required fields
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.
Push "CREATE FORM"
Wait for your Print Window to pop up THEN you can hit PRINT
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:


Check here if Life Member

Local H.O.G. Chapter:
(Optional)

*Shirt Size:

Men's Short Sleeve T or Women's Scoop Neck T

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.

None Non-Member Guest 2nd National H.O.G. Member

REGISTRATION SUMMARY

Prices include all applicable taxes.
	H.O.G. Members pre-registering - $40.00 each (Includes t-shirt)	$
	Non-Member Guests pre-registering - $35.00 each (No t-shirt)	$

ADDITIONAL ITEMS

	Children Under 16	FREE
Official Rally T-shirt - Men's Short Sleeve T
	Small - $15.00	$
	Medium - $15.00	$
	Large - $15.00	$
	XL - $15.00	$
	2XL - $15.00	$
	3XL - $15.00	$
Official Rally T-shirt - Women's Scoop Neck T
	Small - $15.00	$
	Medium - $15.00	$
	Large - $15.00	$
	XL - $15.00	$
	2XL - $15.00	$
	Official Rally Pin - $5.00 each	$
	Official Rally Patch - $5.00 each	$
Where will you pick up your rally packet? Dothan Montgomery Mobile
Will you attend the Dothan dealer party? Yes No
Will you attend the Montgomery dealer party? Yes No
Will you attend the Mobile dealer party? Yes No
Do You Plan to Compete in the Top Gun Competition? Yes No

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.

Create Form

Online Registration

2010 Alabama State H.O.G. Rally

*First Name:
*Last Name:
Pre-fill with primary registrant's address
*Address:
*City:
*State:
*Zip:
*Country:
*Phone:	Please format phone# like this: xxx-xxx-xxxx
Email: