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Director: Dave Targett |
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E-mail: targett@k-town.de |
dave.targett@ramstein.af.mil |
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PSC #2, BOX 9085 APO AE 09012 |
Olsbrueckerstrasse 50 67700 Niederkirchen |
RVLC Website : rvlc.ritanet.net |
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Director's numbers: Home: 06308-7649 Handy:0172-6832848 Work: 480-7425 |
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Rhein Valley Legion Chapter
Local New Chapter Member Application and Release Form to be submitted to the independent local chapter for membership approval.
MEMBER NAME: ____________________________________ DEROS: _________________________________
ADDRESS: __________________________________________________________________________________
STREET/UNIT/PSC #: __________________________________________________________________________
CITY: ________________________________ STATE (APO): __________________________________________
PHONE #'S: HOME :_________________________________WORK/DUTY: _______________________________
E-MAIL ADDRESS: ___________________________________________________________________________
NATIONAL HOG MEMBERSHIP #:_______________________________________________________________
NATIONAL HOG MEMBERSHIP EXPIRATION DATE:________________________________________________
CHAPTER DEALERSHIP: MANFRED ANGSTER, SINDELFINGEN, GERMANY
I have read the Harley Owners Group local chapter Constitution and By-laws and hereby agree to abide by it if I am accepted as a member of this independent local chapter of the Harley Owners Group. I recognize that while my local chapter may be affiliated with HOG, it remains a separate, independent entity, solely responsible for its actions.
I, also, agree that the Sponsoring Dealer, Harley Owners Group, Harley-Davidson Inc., and my local chapter shall not be liable or responsible for any damage to property, or for any injury to persons including myself during any HOG or HOG chapter activities, even where the damage or injury is caused by negligence(except willful neglect). I understand and agree that all Harley Owners Group members and their guests participate voluntarily and at their own risk in all HOG chapter activities. I release and hold the sponsoring dealer, HOG, and Harley-Davidson Inc., harmless for any injury to my person or loss of property which may result therefrom. I understand that this means that I agree not to sue the Sponsoring Dealer, HOG, and Harley Davidson Inc., for any injury to myself, or loss of property in connection with any HOG chapter activities.
I HAVE READ AND UNDERSTAND THE ABOVE RELEASE
MEMBER SIGNATURE__________________________________________________DATE________________
LOCAL CHAPTER DIRECTOR APPROVAL__________________________________DATE________________
LOCAL DUES PAID $2.00 PER MONTH OR $24.00 PER YEAR____________________DATE________________
NEW MEMBER, GOOD TILL__________________________________________________________________
