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• Date:
  July 26th to 28th, 2012

  Location:
  Windsor, Ontario, Canada

  Pre-Registration Deadline:
  May 31, 2012

event registration

If you'd prefer to fax a registration form, download a PDF version here.

Upon successful completion of this form, you will be contacted to arrange payment.

Form fields MARKED IN YELLOW are mandatory!

Contact Information

Your Name:

Address:

City:

Province/State:

Postal/Zip Code:

Phone Number:

Email Address:

Member or Guest: please select H.O.G.® Member Guest

H.O.G.® Number:

Member Name:

H.O.G.® Chapter:

In case we need to contact you during the event, please indicate which hotel you are staying at:

Hotel Name:

Package:

$65 Full Rally Package:

Includes: Rally • T-Shirt • Pin • Welcome Package • Dealer Lunch • Banquet • Parking

$25 Rally Only Package:

Includes: Rally only

T-Shirt Sizing (where applicable):

Men's SMALL:

Men's MEDIUM:

Men's LARGE:

Men's XL:

Men's 2XL:

Men's 3XL:

Women's SMALL:

Women's MEDIUM:

Women's LARGE:

Women's XL:

Women's 2XL:

Verify & Submit Registration

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