ENROLLMENT FORM

                                         Harley Owners Group

                                        PO Box 78470 Milwaukee, WI 53278

Phone: 1-800-CLUB-HOG 1-414-343-4896 (outside U.S.A & Canada) TTY 1-800-242-2464 Fax: 1-414-343-4515

F U L L   M E M B E R S H I P

Full Membership offers ALL of H.O.G.'s exciting benefits to any owner of a Harley-Davidson^® Motorcycle

            $40 - New Member                                                                                $75 - Two Year Membership

                 $40 - Renewal of existing membership - H.O.G. #                                $105 - Three year membership

                                                                                                                                 Life - Call for information

MEMBER NAME

                                        ^{First                                            Initial                                Last}

ADDRESS

                                    ^{Number                    Street}

CITY                                                                                  STATE                         ZIP

DAY PHONE                                                                                EVENING PHONE

                                        ^{Area Code                    Phone Number                                                          Area Code                Phone Number}

FAX                                                                              E-MAIL ADDRESS

                          ^{Area Code           FAX Number}

HARLEY-DAVIDSON SERIAL / VIN # _____________________________________________

                                                                                        ^{(Required for membership)}

H.O.G. CHAPTER (if applicable) ___________________________________________________

                                                                     ^{Name                                                                   City                         State}

A S S O C I A T E   M E M B E R S H I P

Associate Membership is designed for the passenger or family member of a Full H.O.G. member.

Benefits include membership card, pin, patch and participation in ALL of H.O.G.'s social activities

      ____$20 - New Member                                                                         ____$35 - Two Year Membership

            ____$20 - Renewal of existing membership - H.O.G. #                     ____$50 - Three year membership

                                                                                                                                 ____Life - Call for information

MEMBER NAME

                                        ^{First                                            Initial                                Last}

ADDRESS

                                    ^{Number                    Street}

CITY                                                                                  STATE                         ZIP

DAY PHONE                                                                                EVENING PHONE

                                        ^{Area Code                    Phone Number                                                          Area Code                Phone Number}

FAX                                                                              E-MAIL ADDRESS

                          ^{Area Code           FAX Number}

H.O.G. #   _____________________________________________

                      ^{H.O.G. # OF SPONSORING FULL MEMBER (Not required if both memberships are processed together on this form)}

H.O.G. CHAPTER (if applicable) ___________________________________________________

                                                                     ^{Name                                                                   City                         State}

L A D I E S    O F   H A R L E Y

Ladies of Harley affiliation is free of charge to active female H.O.G. members -

 full and associate.

However, it is not automatic.  Check the box if you would like to join.

Your H.O.G. #          

(Required for membership)