A VALID H.O.G.® MEMBERSHIP IS REQUIRED FOR ALL MEMBERS of the MANCUNIUM CHAPTER

Completion of this form does not guarantee acceptance into the MANCUNIUM CHAPTER #8587

Membership fees for 2024/25 are £25 for a Single Full Membership,  £12.50 for a Family Membership (second member of your family who should also be member of HOG).   The membership year runs from the 1st of June until the 31st of May. New Membership can be applied for at any time,  

If you have more than one Harley-Davidson.    Please send details of all your H-D bikes that you are riding.     email - mileage@mancuniumchapter.co.uk  with your  (HOG Membership number,  REG,  VIN Number  and Mileage for each bike).

Joint Membership for Family Member 

If the second family member is also a Harley-Davidson owner/rider please compleat the following:-

THIS IS A RELEASE, READ BEFORE SIGNING:

I agree that the Sponsoring Dealer, Harley Owners Group (H.O.G.), H.O.G. Chapter Officers, Harley‐Davidson, Inc., Harley‐Davidson Motor Company, Harley‐Davidson Europe, Ltd, and any of its corporate affiliates, and their respective officers, directors, employees and agents (hereinafter, the "RELEASED PARTIES") shall not be liable or responsible for 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 is caused by negligence (except wilful intent).  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 arising out of the conduct of such activities.  I release and hold the "RELEASED PARTIES" harmless from any loss to my 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 DAMAGE TO MY PROPERTY ARISING FROM, OR IN CONNECTION WITH, THE PERFORMANCE OF THEIR CHAPTER DUTIES IN SPONSORING, PLANNING OR CONDUCTING SAID EVENT(S), EXCEPT IN THE CASE OF WILFUL INTENT BY THE RELEASED PARTIES.  Nothing in this disclaimer is intended to release any party mentioned herein for any liability for injury or death cause through that party’s negligence.  I understand that the RELEASED PARTIES may take photographs of participants at the EVENT(S) for use in H.O.G.® related materials.  I hereby confirm that I have no objection that my photograph is taken and used in this context and for this purpose.  By signing this Release and Authorisation to Photograph, 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.

DATA PRIVACY STATEMENT, READ BEFORE SIGNING:

The information you provide in this form will be used solely for dealing with you as a member of the MANCUNIUM CHAPTER (“The Chapter”).  The Chapter has a Data Privacy Policy which can be found on the MANCUNIUM CHAPTER website, in the section “ H.O.G. Compliance Information" found at the bottom of any web page.

Your data will be stored and used in accordance with this Policy.  By signing this form you are consenting to The Chapter to collect this data, store it and process it only for the purpose of running The Chapter and keeping a record of your participation as a guest. Photographs or videos may be taken at ride outs or events organised by The Chapter and those published on our website or social media channels to promote The Chapter.  By participating in these ride outs or events you will be consenting to your image being used by The Chapter in this way.

If you later wish to withdraw consent, please contact the Director by email director@mancuniumchapter.co.uk

By you submitting images to The Chapter to be used on our website or social media, you agree to assign any right of ownership of those images to The Chapter.

Emergency Contact Information:

Payment Information:

IF YOU ARE PAYING WITH BAC's PLEASE GO TO THE SUBMIT BUTTON AT THE BOTTOM.

Card payments ONLY -  PLEASE ONLY COMPLETE THE FOLLOWING IF YOU ARE PAYING BY CARD:-

If you would like to pay with a Credit / Debit Card, please TICK the appropriate box below. 

Don't forget to click the Submit button below to send your form to the Membership Officer and also confirm how you have paid your membership fee's 

Please make sure you get the "thank you" confirmation to confirm you have filled in the form correctly.

NOTE: we use a secure on-line payment system we can not see your card details. 

Please select one of the memberships below if you are paying by Credit/Debit Card