TO APPLY FOR A H.O.G.® PA REGISTRATION PLATE
for
CARS and TRUCKS

Harley-Davidson Motor Company and the Pennsylvania Department of Motor Vehicles have established the following guidelines for PA HOG® members who would like to purchase a special HOG® PA registration license plate:
(1) Applicant must have a current membership in National HOG®.
(2) Section C must not be filled in.
(3) Mail the application to:
Jerry Longo
Erie, PA 16505
SPECIAL INSTRUCTIONS:
Ø Complete all parts of Section A
Ø Complete all parts of Section B
Ø Include your HOG® National membership number in Section B, along with the name, address and phone number of your local Harley-Davidson dealership.
Ø Do not fill in Section C
Ø Applicant must sign and date Section D
Ø Include payment of $ 30.00 in the form of a check or money order payable to:
Ø Mail the application along with a check or money order for $ 30.00 to Jerry Longo at the above address.
Ø Applications sent directly to the PA Department of Motor Vehicles will not be processed.
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Note: (1) Current membership in national HOG® is mandatory to be eligible to receive and maintain the special HOG® PA registration plate.
(2) $ 20.00 covers the $ 20.00 State registration fee plus $ 10.00 to cover HOG® chapter expense for application, printing and mailing.
