RVLC RENEWAL FOR LOCAL MEMBERSHIP
DATE:_________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
Name:____________________________________________________,(cash/check)amount:___________
H. O. G. # and expiration date:_________________________________________
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.
MY SIGNATURE CONSTITUTES UNDERSTANDING OF THE ABOVE RELEASE AND FULFILLS THE HOG REQUIREMENT FOR YEARLY SIGNING OF THE RELEASE
LOCAL CHAPTER DIRECTOR APPROVAL_________________________________DATE_______________
LOCAL DUES PAID $2.00(4DM) PER MONTH OR $24.00(48DM) PER YEAR
