WISCONSIN
STATE HOG RALLY
June 23 – 25, 2011
Neshotah Park, Two Rivers, WI
Registration Application
PRE-REGISTRATION FORM MUST BE POSTMARKED BY MAY 5, 2011
Registration for the 2011 Wisconsin State Harley Owners Group Rally is limited to H.O.G. member and one guest each
Member Name: Phone:
Address:
City: State: Zip:
National H.O.G. Number: Expires:
E-Mail*:
*Registration Confirmation Will Be Sent to VALID E-mail Addresses
Sweatshirt (for Member Package Purchase)
Mail Check, Money Order, or H.O.G. Bucks to:
Mens Sizing Wisconsin State Rally, Inc.
Marvin Hollfelder, Treasurer
Circle One Small Med Large XL 2x 3x 4x 5x
Please Print All Information Legibly
606 S. Mayflower Drive
Appleton, WI 54914
Guest Name: Phone:
Address:
City: State: Zip:
Pre-Registration Order
(prices include applicable taxes) Quantity Total
H.O.G. Member Package ( see inclusions below ) $ 50.00
H.O.G. Member Admission Only (no extras) $ 20.00
Rally Pin Set - H.O.G. Member Only $ 20.00
One (1) Guest $ 25.00
Rally Patch $ 5.00
Rally Bandana $ 6.00
Additional Rally Sweatshirts $ 30.00
Mens Sizing per shirt
Small Med Large XL 2x 3x 4x 5x
Total Amount
Enclosed:
Quantity
H.O.G. Member Pre-Registration Package Guest Pre-Registration
Admission $50.00 Admission: $25.00
Souvenir Rally Sweatshirt Self-Guided Tours
Souvenir Rally Pin Set Entertainment
Entertainment Souvenir Sweatshirt and
Pin Set are NOT Included
Children 17 and Under Receive FREE Admission with a Registered H.O.G. Member
Parent or Guardian. Souvenir shirt and pin are NOT included
WRISTBAND REQUIRED FOR ADMISSION TO RALLY