Harley-Davidson® of Madison
6200 Millpond Rd, Madison, Wisconsin (WI) 53718

608-221-2761
Madison H.O.G.® Chapter - Membership

Madison H.O.G.® Chapter - Membership

Due to legal reasons and insurance carriers' requirements, a standard Chapter Membership and Release Form must be used.

If you have any questions please contact the Madison Director HERE

Print out and fill in the fillable PDF document Chapter Membership Enrollment Form. You may need to download the Adobe Reader program in order to view this file. This program can be downloaded from Adobe.com.

MADISON H.O.G.® CHAPTER MEMBERSHIP ENROLLMENT FORM


CHAPTER MEMBERSHIP ENROLLMENT FORM

Please complete and return the Chapter Membership Enrollment & Release Form.

Directions for specific fields:

  • Chapter Name: Madison H.O.G.® Chapter #3793
  • Member Name: ONE MEMBER PER FORM! Please make necessary copies.
  • Address/City/State/Zip: Required
  • Email Address/Phone Number/Birthdate: Optional
  • National H.O.G.® Number & Expiration Date: Application WILL NOT be accepted without these. NO EXCEPTIONS! Each applicant must have their own National H.O.G.® Number and CANNOT use a spouse's or parent's National H.O.G.® Number.
  • Member Signature: Required
  • Local Dues: $20.00 per household. One eNewsletter sent per household.

Make checks payable to: 

Madison H.O.G® Chapter #3793

Attn: Secretary

6200 Millpond Rd

Madison, WI 53718


RETURN TO THE MADISON H.O.G.® CHAPTER HOMEPAGE