Now you have decided to join us and that means your support is an additional beam to our organization. We thank you for your support and enjoy our services. If you find any problems please contact
us
.
Fields marked with an asterisk
*
are mandatory.
PERSONAL INFO
Family Name:
*
Given Name:
*
Full Name:
Biker Photo:
(Image size 150w X 200h pixes)
Gender:
*
Choose One
Male
Female
Address:
*
Area:
Choose One
Hong Kong
Kowloon
N.T.
Outside H.K.
Home Phone:
Office Phone:
Mobile Phone:
*
Fax:
Email:
*
HARLEY INFO
Model:
*
Choose One
No Bike
Antique Bike
Custom Bike
XLH Sportster 883 Hugger
XLH Sportster 883 Custom
XLH Sportster 1100
XLH Sportster 1200
XL 1200S Sportster 1200 Sport
XL 1200C Sportster 1200 Custom
FXD Dyna Super Glide
FXDX Super Glide Sport
FXDL Dyna Low Rider
FXDS-CONV Dyna Convertible
FXDWG Wide Glide
FXR
FXR2
FXST Softail Standard
FXSTB Night Train
FXSTC Softail Custom
FXSTS Springer Softail
FLSTF Fat Boy
FLSTC Heritage Softail Classic
FLSTS Heritage Springer
Bad Boy
FLSTN Heritage Nostalgia
FXSTD Softail Deuce
FLHT Electra Glide Standard
FLHTC/FLHTCI Electra Glide Classic
FLHTCUI Ultra Classic Electra Glide
FLHR Road King
FLHRCI Road King Classic
VRSCA V-ROD
Not the owner
Year:
*
Choose One
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
Frame #:
Registration No.:
*
Bike Photo:
(Image size 300w X 200h pixes)
Total Harley Qty:
Choose One
1
2
3
4
5
MEMBERSHIP INFO
HOG HK:
Card status ?
Issued
Not Yet
2004
2003
2002
2001
2000
1999
Membership Since :
HOG Int'l:
Expire Date :
Driving License:
*
Associate Member:
Yes
No
Associate Member Name:
Remarks:
Next of kin:
Yes, I have read and understand the
terms of use
and agree to be bound by all their terms.