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 Registrations to date: 189  

Registration Form
Each Rider and Pillion should complete and submit this registration form. The Rally is open to all H.O.G® Members as well as all Harley Davidson® owners.
Registration cut-off date: 20 March 2019
Amount payable is N$ 950.00 per registration. Registration fees are not refundable and includes Friday Lunch, Saturday Mega Braaivleis, Rally Pin and Long sleeve Sweat shirt
Download and complete the Terms and Conditions here.
Entry Type: *
First Name:* Please enter your name.
Last Name:* Please enter your last name.
Date of Birth:
Residential Address:* Please enter your address. Only letters, comma and full stop allowed.
Postal (if different):
Contact Number:* Please enter a valid contact number.
Email:* Please enter your email address.
Harley-Davidson® Model:
Reg No.:* Please enter your bike's registration number.
Club/Chapter:
H.O.G. Mem. No.:
Gender:* Please select an item.
T-shirt Size:*
Security code:   security code

I accept the Terms and Conditions


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