Central VT Harley Owners Group

Membership
You can join or renew 1 of 2 ways...

Offline "paper" Option:

Download the membership application here

Print it, complete it, and mail it with your $20 check to:

Wilkins H-D
attn: HOG Chapter
663 South Barre Rd
Barre, VT 05641


Online Option (Credit/Debit Cards)
 
Step One:  READ and Complete the membership terms and application below.

Step Two:
When you submit the application, you will be directed to our secure page to pay your annual membership dues.

Once BOTH steps are complete and your application is accepted you will receive a confirmation email. Please allow 2-3 days for application processing.


Applicant Information
  Full Name:

Address:   

Address:  

City/Town:

Select State
(5 digit Zip Code)



Phone Number:

Email Address:

National H.O.G Membership #: US-

National H.O.G Membership Expiration Date:  (mm/yy)

Enter The Security Code Shown Here:  

BY SUBMITTING THIS FORM, I AGREE TO THE FOLLOWING TERMS:

All paid memberships are valid for the current calendar year and expire annually on December 31.
I have read the Annual Charter for H.O.G.® Chapters and hereby agree to abide by it as a member of this
Dealer sponsored Chapter.I recognize that while this Chapter is chartered with H.O.G.®, it remains a separate, independent entity solely responsible for its actions.THIS IS A RELEASE, READ BEFORE SUBMITTING
THIS FORM. I agree that the Sponsoring Dealer, Harley Owners Group® (H.O.G.®), Harley-Davidson, Inc., Harley-Davidson Motor Company, my Chapter and their respective offcers, directors, employees and agents (hereinafter, the
“RELEASED PARTIES”) shall not be liable or responsible for injury to me (including paralysis or death) or
damage to my property occurring during any H.O.G.® or H.O.G.® Chapter activities and resulting from
acts or omissions occurring during the performance of the duties of the Released Parties, even where the
damage or injury is caused by negligence (except willful neglect). I understand and agree that all H.O.G.®
 members and their guests participate voluntarily and at their own risk in all H.O.G.® activities and I
assume all risks of injury and damage arising out of the conduct of such activities. I release and hold the
“RELEASED PARTIES” harmless from any injury or loss to my person or property which may result from my participation in H.O.G. activities and EVENT(S). I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO
SUE THE “RELEASED PARTIES” FOR ANY INJURY OR RESULTING DAMAGE TO MYSELF OR MY PROPERTY
ARISING FROM, OR IN CONNECTION WITH, THE PERFORMANCE OF THEIR CHAPTER DUTIES IN SPONSORING, PLANNING OR CONDUCTING SAID EVENT(S). WAIVER OF RIGHTS UNDER STATE STATUTESI further agree
to waive all benefts fowing from any state statute which would negate or limit the scope of this Release and Indemnifcation Agreement including, but not limited to, Section 1542 of the California Civil Code which
provides: “A general release does not extend to the claims which the creditor does not know or suspect
to exist in his favor at the time of executing the release, which if known to him must have materially
affected his settlement with the debtor.”By submitting this form, I certify that I have read this Release
and fully understand it and that I am not relying on any statements or representations made by the
“RELEASED PARTIES”.
  Your Initials: