Madison H.O.G.® Chapter – Membership

Due to legal reasons and insurance carriers’ requirements, a standard Chapter Membership and Release Form must be used.

If you have any questions please contact the Madison Director at dlwesterng@gmail.com

Directions for specific fields:

  • Chapter Name: Madison H.O.G.® Chapter #3793
  • Member Name: One Member Per Form! Please make necessary copies.
  • Address/City/State/Zip: Required
  • Email Address/Phone Number/Birthdate: Optional
  • National H.O.G.® Number & Expiration Date: Application WILL NOT be accepted without these. NO EXCEPTIONS! Each applicant must have their own National H.O.G.® Number and CANNOT use a spouse’s or parent’s National H.O.G.® Number.
  • Member Signature: Required
  • Local Dues: $20.00 per household. One eNewsletter sent per household.

MAKE CHECKS PAYABLE TO:

Madison H.O.G® Chapter #3793
Attn: Secretary
6200 Millpond Rd
Madison, WI 53718